9a-Santa Clara HEAP

The Low Income Home Energy Assistance Program (LIHEAP) provides assistance to low income people by providing assistance to them in paying their energy costs. The applicant, if eligible, does not need to have a past due balance but can not have a credit balance on their utility bill to receive assistance. Eligibility for assistance is based on the household income of all people residing in the residence.

If a household is determined to be eligible for a LIHEAP assistance payment, in most cases the payment will be sent directly to the utility company and it will be credited to the utility bill. In some cases, such as when the energy costs are included in the rent payment, a check may be mailed to the recipient.

For an application in Santa Clara County, first read and sign the letter, then click on the link below for the HEAP intake forms. (You will need Adobe Acrobat reader to view, available at www.adobe.com).

Energy Intake Form for Santa Clara County HEAP Registration
English:	Español:
1. Read, sign, and return this letter.	1. Lea esta letra.
2. Complete this intake application form and submit it to us.	2. Complete este formulario de solicitud y nos lo se somete a nosotros.
3. Complete this CSD form and submit it to us.	3. Complete este formulario de solicitud y nos lo se somete a nosotros.

Or call 1-866-205-2388. Leave a message with your mailing address to request an application. To speak with a representative, call 1-408-920-3953.

Completed HEAP Applications for residents of Santa Clara County should be mailed to:

Community Action
673 East Brokaw Road
San Jose, CA 95112

Telephone: 408-920-3953

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