Energy Assistance Program

Electricity              Natural Gas           Propane

Oil                Wood/Pellet          Water, in some areas

How to apply:

Please complete our application (English and Spanish) and return with back up documents listed on the instructions (linked at the bottom of this page)

Completed Energy/Utility Assistance applications with disconnect notices received after 12:00 noon will not be processed same day. Please contact your utility directly to avoid shut off.

Are you eligible? Eligibility requirements vary depending on the energy source, address, and provider. Click on the links below for specific eligibility requirements:

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 Bend NeighborImpact 20310 Empire Ave., Suite A100, Bend
  Applications and drop box located outside building
La Pine Highlander Motel (Shell station) 51511 Hwy 97, La Pine
  St. Vincent de Paul 51484 Morson St., La Pine
  La Pine Community Health Center 51600 Huntington Rd, La Pine
  La Pine Parks and Recreation 16405 1st St., La Pine
  Midstate Electric Cooperative 16755 Finley Butte Rd, La Pine
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 at the DHS building in Prineville
Redmond Redmond NeighborImpact 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 Social Services 1144 Warm Springs St., Warm Springs

Have questions? Contact Us

Phone:  (541) 504-2155


Fax: (541) 749-4947



Income eligibility guidelines

Application English and Spanish

Declaration of Household Income English and Spanish

Bulk Fuel Form for assistance with propane, oil, wood or pellets requests in English and Spanish

Self-Employment Worksheet in English and Spanish

Landlord Verification Form English and Spanish

Crisis form in English and Spanish

Water Landlord Letter