The Home Energy Assistance Program (HEAP) provides financial relief to low-income families and individuals in California who struggle with home utility costs. The CSD 43 intake document, last updated in October 2017, is the official form used to apply for HEAP energy bill assistance and weatherization services through the California Department of Community Services and Development (CSD).
California residents who meet income guidelines may receive support through the HEAP program. Eligibility is based on total monthly household income, family size, and the type of energy used in the home. Households that already receive CalFresh, SSI/SSP, SSA/SSDI, or other public benefits may qualify under categorical eligibility rules without a full income review.
Families at risk of utility disconnection are given priority when program funds are available. Income thresholds are updated each program year by the CSD and its community partners.
Applicants must provide the following details when completing the HEAP intake application:
Approved applicants receive direct payment to their utility company for heating and cooling costs. HEAP also offers weatherization services that improve home energy efficiency, helping families reduce long-term utility bills. By signing the intake form, applicants authorize the CSD, its community partners, and utility companies to share information needed to confirm eligibility and deliver program benefits.
| Question | Answer |
|---|---|
| Form Name | Csd 43 Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | Energy Intake Form CSD 43 ENGLISH heap butte county 2012 form |