How to Apply for Energy Assistance
How to Apply for Energy Assistance
A Year Round Program – Baltimore MD
4. Telephone

Phone Applications
Mail/Email documents
after (clear pictures OK)
Information Needed with Application
- Applicant’s photo ID
- Proof of Residency
- Social Security Cards (All Household)
- Gross income for the last 30 days
- Utility Bill, Heating Bill
Arrearage Retirement AssistanceIf eligible, customers may receive a grant for up to $2,000 towards their past due electric bill and up to $1,000 towards their past due gas bill. Customers must have a past due bill of $300 or greater to be considered eligible. Customers may only receive an arrearage grant once every five years, with certain exceptions. Arrearage grants received between January 1, 2020 and December 31, 2021 will not count towards the five-year limitation.
Income Eligibility (houshold Size)
| Household Size | Monthly Income Limits |
|---|---|
| 1 Person | $2,608 |
| 2 Persons | $3,525 |
| 3 Persons | $4,441 |
| 4 Persons | $5,358 |
| 5 Persons | $6,275 |
| 6 Persons | $7.191 |
| 7 Persons | $8,108 |
| 8 Persons | $9,025 |
| 9 Persons | $9,942 |
| 10 Persons | $10,859 |
| 11+ Contact your Local OHEP Office | |
Application Documents
All forms are in PDF format (you may download the free Adobe reader).
Forms can be filled out electronically or by hand.
ALL forms must be printed and signed by hand.
English
- DHS-FIA-9780-OHEP-Application for Energy Assistance
- Confidentiality-form-1
- Supplemental Forms
- DHS-FIA-803-OHEP-Alimony Child Support Form
- DHS-FIA-804-OHEP-Concern for Personal Safety Privacy Form
- DHS-FIA-805-OHEP-Crisis Season Declaration Form
- DHS-FIA – 806 Declaration of Zero Income
- DHS-FIA-807-OHEP-Household Worksheet
- DHS-FIA-808-OHEP-Income Verification of Self-Employment
- DHS-FIA-809-OHEP-Landlord Agreement
- DHS-FIA-810-OHEP-Physician Certification
- DHS-FIA-811-OHEP-Proxy Authorization Form
- DHS-FIA-812-OHEP-Rent – Living Arrangements Form
- DHS-FIA-813-OHEP-Resource Provider Statement
- DHS-FIA-814-OHEP-Wage Verification
Español
- DHS-FIA-9780-OHEP-Solicitud de Ayuda Para Energìa
- Supplemental Forms
- DHS-FIA-810-OHEP Physician Certification Spanish
- DHS-FIA-803 – OHEP- Alimony Child Support
- DHS-FIA-804 – OHEP-Concern for Personal Safety Privacy Form
- DHS-FIA-807 – OHEP-Household Worksheet
- DHS-FIA-809 – Landlord-Agreement
- DHS-FIA – 806 DECLARACIÓN DE INGRESO CERO
- DHS-FIA – 808 -VERIFICACIÓN DE INGRESOS POR TRABAJO INDEPENDIENTE
- DHS-FIA – 814 -FORMULARIO DE VERIFICACIÓN DE SALARIO
- SOLICITUD DE AUDIENCIA I MPARCIAL de Maryland SUN BUCKS
- DHS-FIA – 805 – FORMULARIO DE DECLARACIÓN DE TEMPORADA DE CRISIS
- DHS-FIA – 811 – FORMULARIO DE AUTORIZACIÓN DE REPRESENTANTE
- DHS-FIA – 813 – FORMULARIO DE AUTORIZACIÓN DE REPRESENTANTE
- DHS-FIA – 812 – VERIFICACIÓN DE VIVIENDA (PDF)
Brochures and Other Important Information





