Welcome to the Utility Assistance Program Eligibility Form!

• SoCal Edison and SoCal Gas offer a utility assistance program for eligible households. Funds are limited per program period and distributed on a first-come first-serve basis.
• Eligible households may receive up to $200 towards an exising SoCal Edison bill and up to $100 towards an exisiting SoCal Gas bill while funds are available.
• For energy assistance, eligible households may receive assistance once per 12 months.
• For gas assistance, eligible households may receive assistance once per program period. 
Which of the following utility assistance programs would you like to apply for? *
Is SoCal Edison your electric utility provider? *
Is SoCal Gas your gas utility provider? *
Do you have a separate gas bill? *

Client Eligibility Information

• In order to determine eligibility we require information on your household size and total household income for all members.
• If eligible, we will ask you to provide income documentation to attach with your UAP application.
Are you the person listed on the bill? *

How Can We Contact You?

Our office address:
1887 Business Center Dr. Suite 3A, San Bernardino, CA 92408
Are you available for an in-person appointment at our office? *
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