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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2 |
3 |
4 |
5 |
6 |
7 |
8 |
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$372 or Less |
$503 or Less |
$633 or Less |
$764 or Less |
$895 or Less |
$1,026 or Less |
$1,157 or Less |
$1,288 or Less |
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$372 – $495 |
$503 – $670 |
$633 – $845 |
$764 – $1,019 |
$895 – $1,194 |
$1,026 – $1,368 |
$1,157 – $1,543 |
$1,288 – $1,718 |
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$495 or More |
$670 or |
$845 or |
$1,019 or More |
$1,194 or More |
$1,368 or More |
$1,543 or More |
$1,718 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.