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 (10/1-9/30).
  • Your income meets program limits https://energyoutreach.org/leap-qualification-table/

To apply for assistance, please send the following to info@lupuscolorado.org. Your Photo ID and a copy of your most recent Past Due Bill, we will follow up with the proper forms with Docusign.  

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