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Customer Assistance Programs Online Form

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  3. 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

$434
or Less

$590
or Less

$745
or Less

$900
or Less

$1,055
or Less

$1,210
or Less

$1,366
or Less

$1,521
or Less


Level 2

$435
– $579

$591
– $786

$746
– $993

$901
– $1,200

$1,056
– $1,407

$1,211
– $1,614

$1,367
– $1,821

$1,522
– $2,028


Level 3

$580
or More

$787
or
More

$994
or More

$1,201
or More

$1,408
or More

$1,615
or More

$1,822
or More

$2,029
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.