The following is a screening to see if you qualify to complete our online application. Please fill out all fields of required information.
You are attempting to submit a LIHEAP application to an agency that does not serve your county-- this application is for KANE and DEKALB Illinois county residents only. Please contact your local administering agency.
Please fill out all fields of required information.
You indicated that you are physically disconnected from one or more of your utilities. Please immediatley contact the office at (847) 697-4400 upon completing your application and notify us of your emergency so we can process your application as a reconnection assistance application.
Proof of income for all household members 18 and over for the past 30 days
If there is NO income in your household, 2 proofs of zero income for each household member 18 and over.
Most recent bills for all energy utilities (EX: ComEd, Nicor, Propane, Fuel Oil).
Social security cards for all household members.
(If you do not have a social or you are undocumented, please provide your ITIN).