This page contains a variety of helpful resources and commonly used forms. Download and review these forms before contacting us.

The Online Application Portal (CALIHEAP) is temporarily unavailable. You may download and complete the application below and submit by:

E-Mail: heap@sjgov.org

Fax: 209-932-2649

US Mail: Energy Program, PO Box 201056, Stockton CA 95201

Self Service Drop Box: 333 E. Washington Street, Stockton CA 95202

LIHEAP Online Application

• Online Application Portal (CALIHEAP)
• Online Application Guide

LIHEAP Complete application packet

• LIHEAP Application Guide ( English , Spanish , Video )
• LIHEAP Application Packet (PY 2021)
• LIHEAP Documentation Checklist

Individual Forms HEAP and Weatherization

• CSD-43 Energy Intake Form (English)
• CSD-43 Energy Intake Form (Spanish)
• CSD-600 Statement of Citizenship or Non Citizen Status for Public Benefits Rev-3-24-06
• CSD-81 Consent Form English
• CSD-81 Consent Form Spanish
• CE CSD-321 2021 Acknowledgment Form (English)
• CE CSD-321 2021 Acknowledgment Form (Spanish)
• CSD-43B Certification of Income and Expenses - ENGLISH
• CSD-43B Certification of Income and Expenses - SPANISH
• LIHEAP Statement of Financial Support 3.0
• Application Referral Source
• PG&E CARE Online Enrollment
• Home Energy Conservation Tips
• Make a Budget Worksheet
• CSD-51 SWEATS Intake Form (For use only during declared extreme weather conditions)

Weatherization Forms

• Weatherization Intake Form
• Weatherization Intake Form - Spanish
• CSD-515A Energy Serv Agreemt - Occupant-2-12-16392
• CSD-515B Energy Serv Agreemt - Prop-Owner-2-12-16798

Other Forms

• Service Referral and Follow-Up Summary
• SOC341--Report Elder Abuse Form
• SOC342--Report Abuse for Financial Institutions
• Community Center Rental Application