Request An Application For Energy Assistance & Weatherization

There is an online application available as well.

Fill out this form to request an application for GNS' Energy Assistance and Weatherization programs be sent to you through USPS.
Please note: We are happy to send you an application in the mail, but if you are facing an energy crisis picking an application up from your local Family Resource Center can be faster. They have our applications on hand and can go over them with you to help you fill them out.

Your Name*
Care of
(Fill this out if you are using someone else's address to receive mail.)
Mailing Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Please provide a phone number where we can reach you if we have any questions.
Email
*
- I understand that GNS can only provide assistance to people who live in Siskiyou County.

Location and Mailing Address

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