Self-Sufficiency Plan

MICHIGAN ENERGY ASSISTANCE PROGRAM

MEAP SELF-SUFFICIENCY PLAN
SUPERIOR WATERSHED PARTNERSHIP
401 E. Fair Avenue
Marquette, MI 49855
Phone (906) 273-2742  Fax (906) 273-2741
E-mail:  meap@superiorwatersheds.org

Household Information

List everyone who lives in your home, including adults and children temporarily absent due to illness or employment.  People are considered members of your household if they sleep and keep their belongings in your home.  Be sure to include the date of birth and citizenship status for each member.

Account Holder Information







Household Address (Service Address)





Mailing Address, if different than above





Additional Information Needed





*Electric heat sources include solar panels, boilers, radiators, or baseboard heating but DO NOT include space heaters.
Electric (non-heat) Provider Information











Heat Provider Information











Self-Sufficiency Plan

Affordable Payment Plan (APP)


Terms and Conditions of this plan are available with an Access Partner or on the SWP website.
Workshop Requirements


Signature Requirement
Please sign below after reading the following information on, otherwise this application will be considered incomplete.













Needs Assessment
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