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.
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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$421or Less |
$569 or Less |
$717 or Less |
$865 or Less |
$1,014 or Less |
$1,162 or Less |
$1,310 or Less |
$1,458 or Less |
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$421 – $561 |
$569 – $758 |
$717 – $956 |
$865 – $1,154 |
$1,014 – $1,352 |
$1,162 – $1,549 |
$1,310 – $1,747 |
$1,458 – $1,945 |
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$561or More |
$758 or |
$956 or |
$1,154 or More |
$1,352 or More |
$1,549 or More |
$1,747 or More |
$1,945 or More |
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.