EA Program Application

Energy Assistance Program

NeighborImpact’s Energy Assistance

Who can apply?

Residency

We serve residents of Crook, Deschutes, Jefferson counties and the Confederated Tribes of Warm Springs.

Energy Types Covered

  • Electricity
  • Natural Gas: Discount Program only
  • Propane: Please check back next fall when funding is expected to renew
  • Oil: Please check back next fall when funding is expected to renew
  • Wood: Please check back next fall when funding is expected to renew
  • Pellets: Please check back next fall when funding is expected to renew

Are you eligible?

Gross income at or below 60% of the state median income

Gross income is the amount you make before taxes. Please scroll to the bottom of the page for the income chart.

Applications closed

How to apply

This application cycle is now closed.
Online and printable applications are no longer available. Completed applications are due Friday, Sept. 18.

No Printer? No Problem.

Call 541.504.2155 to have an application mailed to you.

Pick up an application at one of these sites:

Bend
20310 Empire Ave., Suite A100, Bend
Applications and drop box located outside building
Madras
Madras NeighborImpact Office 374 SW 5th Street, Suite B, Madras
(Applications and drop box located inside the first set of doors.)
Prineville
Prineville NeighborImpact Office 457 Ochoco Plaza Dr., Prineville
(Located in the DHS Building)
Redmond
Redmond NeighborImpact Office 2303 SW First St., Redmond
(Applications and drop box located outside building)
Sisters
Sisters FAN, Call for information: 541-549-0155
Warm Springs
Warm Springs NeighborImpact Office 1144 Warm Springs St.

Other Important Information

  • The Energy Assistance Program is NOT an emergency program. It is a program intended to supplement heating costs, not provide year-round coverage
  • Application Cycles: We will open application cycles throughout the year. We will release applications for one day and then close the cycle. Why do we do this? Because it allows for timely processing of completed applications and notices to be sent for those applications that are missing items or need clarification.
  • Service is first come, first serve. There will be NO prioritizing of disconnections or final notices for processing.
What should I do if I have a shutoff notice or my utility is disconnected?
  • Talk to your utility company. Let them know you have submitted an application. They will often call our department to verify.
  • Make arrangements to go on a manageable payment plan until you receive assistance.
  • Continue to pay your bill. Please make sure that you are working with your utility company to continue your service while your application is being processed.

Income Guidelines

Energy Assistance Income Chart
Household Size Maximum Monthly Gross Income*
1 $3,198.75
2 $4,183.00
3 $5,167.17
4 $6,151.42
5 $7,135.58
6 $8,119.83
7 $8,304.33
8 $8,488.92
Each additional household member Add $184.50

*Gross income means all household income before any deductions.

Forms

Declaration of Household Income

English (PDF) Spanish (PDF)

Self-Employment Worksheet

English (PDF) Spanish (PDF)

Landlord Verification Form

English (PDF) Spanish (PDF)

Proof of Residency Form

English (PDF) Spanish (PDF)