Energy Assistance Forms

Our mission: Collaborate with local partners to provide human service programs for low-income individuals and families in our community to make positive changes towards self-sufficiency.

CAPNEMO Central Office Hours

Monday - Thursday 8:00 am - 5:30 pm

Resources

2019 Poverty Guidelines

Program Brochure

Energy Saving Tips

Winter LiHeap Application

ENERGY ASSISTANCE

Energy Assistance Forms:

Low-Income Interview Guide (Zero Income)
2019 LIHEAP Income Ranges
EA Landlord/Renter Documentation Request
EA Wood Verification
Emergency Wood Agreement
Vendor Agreement