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Customer Assistance Programs Online Form

Explore Assistance Programs > Customer Assistance Programs Online Form

Thank you for your interest in UGI’s Customer Assistance Programs. To help us determine which programs you may be eligible for, identify your household weekly gross (before taxes) income level in the chart below and complete the form.

 


Number of People Living in Your Household


Weekly
Income Level

1

2

3

4

5

6

7

8


Level 1

$368 or Less

$497 or Less

$627 or Less

$756 or Less

$885 or Less

$1,014 or Less

$1,143 or Less

$1,273 or Less


Level 2

$369 – $491

$498 – $663

$628 – $835

$757 – $1,008

$886 – $1,180

$1,015 – $1,352

$1,144 – $1,525

$1,274 – $1,697


Level 3

$492 – $613

$664 – $829

$836 – $1,044

$1,009 – $1,260

$1,181 – $1,475

$1,353 – $1,690

$1,526 – $1,906

$1,698 – $2,121


Level 4*

$614 or More

$830 or
More

$1,045 or More

$1,261 or More

$1,476 or More

$1,691 or More

$1,907 or More

$2,122 or More

*If your household income is within Level 4 please visit our Emergency Relief Program page.

Please allow 15 business days for UGI to respond to your online inquiry.

What to Expect After Submitting this Form:

  • UGI will review your form submission.
  • If your account is eligible to take advantage of assistance programs, UGI will send you the appropriate paperwork required for enrollment into the program.
  • You will be notified by UGI or the Community-Based Organization if your application is approved.
  • Please allow two to four weeks for the above process.