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EITC Request Application – North

Clearfield, Coudersport, Lock Haven, Fryburg, Pittston, Port Allegany, Scranton, Troy, Wellsboro, Wilkes-Barre, or Williamsport Area
Request a Contribution > EITC Request Application – North

Accepted May 1st - August 1st

Preference is given to programs that serve multiple communities in our service area.

After filling out the form below, please email the following to ablaskiewicz@ugi.com:


1) Completed Vendor Profile Form - click to download
2) Your W9 Form and any other supporting documentation we may need