LIHEAP Form

This form is to be used if you need help completing the LIHEAP application. LIHEAP season opens annually on the first business day of November. To apply for LIHEAP online, visit https://www.compass.state.pa.us/compass.web/Public/CMPHome. To learn more about LIHEAP and how to apply visit https://prod.ugi.info/assistance-programs/LIHEAP/

Name on Account:

Service Address Street:

Service Address City, State, Zip:

Phone Number:

Email Address:

Response:

Yes! I would like UGI to assist me in completing my LIHEAP Application. I prefer a phone call. Please have a UGI Representative contact me at the phone number above. Other - please provide comments below.

Comments: