Energy Assistance Forms

Lupus Colorado is a proud partner of Energy Outreach Colorado; we offer home energy assistance to everyone, not just lupus patients. 

Do I Qualify?

  • ​​You are disconnected from service, have a past-due heating or electric bill, or are low on fuel.
  • You pay your bill directly to a utility or fuel provider.
  • You haven’t received bill payment assistance for this bill from any other EOC partner agencies this program year: October 1 to September 30.
  • Your income meets program limits https://energyoutreach.org/leap-qualification-table/

To begin the application process, please send a copy of your Photo ID and your most recent Past Due Bill to info@lupuscolorado.org. We will follow up with the proper forms to complete your EOC application.

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