Energy Assistance Online

Getting Started

Welcome to Byrd Barr Place’s online application for Energy Assistance!

Grants range from $100 to $1000

Some things to consider before you begin:

  • In order for your application to be processed, you must click the "Submit" button at the end of this application.

  • Please answer all questions accurately to the best of your ability.
  • Please follow prompts regarding expected format (e.g. birthdate - MM/DD/YYYY)

  • You will be asked to upload relevant documents throughout this application
  • You can submit the application without uploading supporting documents, but the application CANNOT be evaluated until these documents are received by upload or by mail.
  • If uploading pictures, please ensure the pictures are clear and readable.


  • There is a 35MB limit for all pictures & documents being uploaded.  This can be an issue if the images you're uploading are extremely high quality or if you live in a larger household. If you receive an error for exceeding the maximum allowed file size, please re-submit the application with only the uploads for your ID and utility bill(s), and we will send you a secure upload link to attach your remaining documents separately.

  • If you receive errors upon submission and need help troubleshooting, please contact our Technology Coordinator @ 206-812-4950, or via email: Jacob@byrdbarr.place

You will need to provide the following documents for a complete application:

 

1 - Heat Bill
Electricity, Natural Gas, Oil, Propane, Wood
*If you pay for utilities as a portion of your rent, we will need some information about your Landlord.

2 - Social Security Card(s) for all Household Members
Please note that if you or a family member does not have a Social Security Number, permanent residency documentation is required for at least ONE (1) Household member

3 - Valid Photo ID for Primary Applicant 
Examples: State ID, Passport, Green Card, Military or Tribal Identification

4 - Income Documentation for all Adult Household Members (18+ Years Old)
Examples:  Benefit award letters, pay stubs, bank statements, etc.
Most recent month information is the minimum, but you may enter up to 3*

5 - Lease or Recertification Letter
If you rent a room or you pay utilities as part of your Rent, a full Lease is required*


All information is confidential and will only be used to deem eligibility for Byrd Barr Place's Energy Assistance Programs






*If you do not have an email address, please enter "none@none.com"




Before we get started, let's make sure you are in our service area


Unfortunately, we cannot provide services to households outside of Seattle City Limits.
Please visit the Department of Commerce's website to determine your Energy Assistance Provider

 

If you are located:

NORTH of Seattle

Hopelink


8990 154th Avenue Northeast
Redmond, Washington 98052
hopelink@hopelink.org

Appointments:
425.658.2592

SOUTH of Seattle

Multi-Service Center

203 SW 153rd Street
Burien, WA 98166
info@mschelps.org

Appointments:
253.517.2263
Online



* While not required at this time to formally submit an application, uploading documents that verify your answers will significantly reduce the amount of time your application will take to process and greatly increase the likelihood of being awarded a grant.*
Tell us about your home!
Home type image





*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*


  • Your landlord will need to verify that you pay Heat With Rent*
  • Please fill out as much of their information below as you can*
  • We will contact them on your behalf to complete the required form*









*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*



*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*

*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
Tell us about yourself!
Please note that you MUST be the individual named on your Household's Heat Bill in order to apply as the Primary Applicant




*There is a 29-character limit; please abbreviate long names such as "Martin Luther King Jr Way South APT101" to "MLK Jr Way S #101"



Please include Apartment/Unit #








You will still receive correspondence as required to process your application.

At least ONE (1) household member must have a Social Security Number to apply


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*

(MM/DD/YYYY)

*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*








*Including Self-employment, TANF, SSI, Unemployment, etc.
How much income did you receive in the last 3 months?
Please estimate as best you can!

*** You must enter a number greater than 1 for at least one of past three months for each income source you select.***
3 Month History - Supplemental Security Income (SSI)

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Temporary Assistance for Needy Families (TANF)

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - General Assistance (GA)

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Veteran's Affairs (VA)

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Social Security Administration (SSA)

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Military

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Earned Income (Paycheck/Salary)

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Pension (Retirement)

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Self-Employed (Small Business/Freelance)

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Child Support

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Unemployment

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Other

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*

Please share with us why you have not recieved income in the last 3 months


Declaration of No Income
I do hereby declare that I have not received any income in the previous 3 months.
I certify that the information contained above is complete and accurate to the best of my knowledge. I understand that I will be giving my signature at the end of this form that will hold under penalty of prosecution. If I knowingly give false information which results in assistance, I may be denied future services.


Tell us about the members of your Household


Please complete this section for each Household Member (other than yourself).

At the bottom of this page is an "Add another person" button that will allow you to repeat this section for each household member. 





All household members that are U.S. Citizens must provide a valid Social Security Number and documentation for a complete application.


(MM/DD/YYYY)









*Including Self-Employment, SSI, Pensions, etc.
Income Section

*** You must enter a number greater than 1 for each income source you select.***
3 Month History - Supplemental Security Income (SSI)

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Temporal Assistance for Needy Families (TANF)

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - General Assistance (GA)

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Veteran's Affairs (VA)

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Social Security Administration (SSA)

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Military

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Earned Income (Paycheck/Salary)

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Pension (Retirement)

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Self-Employed (Small Business/Freelance)

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Child Support

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Unemployment

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
3 Month History - Other

Income

(No $ sign)

Income

Income


*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*
No Income Section


Verification Documents

*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*

*These documents are REQUIRED for a valid application. We will allow a submission without uploading, but the application will not be considered complete until ALL verification documents are received.*

Interested in additional assistance for Furnace Repair, Replacement or Cleaning?
We noticed that you are a homeowner! 

Interested in Rental Assistance?
We noticed that you are a renter: 

Please be aware: (a) Byrd Barr Place has limited funds for rental assistance. (b) Applying does not guarantee assistance. (c) Your landlord’s cooperation is required.
Energy and Money Saving Tips
Below are a few ideas to help you save money and use less energy
  • Unplug electronic devices when not in use or when leaving home
  • Consider investing in a power strip to easily turn off multiple devices 
  • Turn off lights in rooms that aren’t being used
  • Reduce your refrigerator’s temperature (36 to 38 degrees) 
  • Make sure appliances are turned off after each use
  • Consider replacing bulbs with energy efficient lighting (CFL and LED lightbulbs)
  • Seal drafts in windows and doors with weather stripping, caulking, or plastic film 
  • Avoid using space heaters as much as possible, as they are expensive, unsafe, and not the most energy efficient when it comes to heating your entire home
  • Vacuum vents and heating baseboards regularly 
  • Add light colored curtains to windows and keep shades open during the day for sunlight and closed at night to keep warm air in
  • Consider installing a water saving shower head 
  • Lower water heaters thermostat to 120 degrees
  • Dust light fixtures regularly 
  • Take showers, not baths 
  • Run the dishwasher with full loads only and let dishes air dry 
  • Lower the thermostat every time you leave the house
  • Wash full loads of laundry with cold water, air dry clothes, and clean lint trap
  • Raise the heat temperature in your home gradually, since sudden increases will substantially increase your energy usage

Low Income Home Energy Assistance Program (LIHEAP)
LIHEAP, which stands for Low Income Home Energy Assistance Program, is a federal program that helps low income households pay for heating or cooling their homes.  In most states, it also helps people make sure their homes are more energy efficient by paying for certain home improvements, known as weatherization.
 
Most states will use LIHEAP to help you pay for your energy bill for heating or cooling your home and offer additional help in cases of energy crisis. A number of States may also offer weatherization services.

I certify that I have provided and reviewed all information on each page of this document and it is accurate to the best of my knowledge. I understand that I may be subject to criminal prosecution if I have knowingly provided false information. I further understand that I may request a Fair Hearing if the provision of the above information is not acted on to determine my eligibility within a reasonable time or if I do not receive benefits for which I feel I am eligible. I give my permission for this agency and Washington State Department of Commerce (COMMERCE) to request/release necessary information that may result in my receiving benefits from this assistance request and from similar and related programs administered by the State of Washington, including food assistance. I also give the above listed heating vendor(s) permission to establish a line of credit, and/or to release my account information to this agency or COMMERCE for current and future data analysis and eligibility determination. If the vendor is Seattle City Light, the permission to release customer billing and consumption information is allowed for up to six months from the date of this application. I understand that provision of my social security number is necessary to avoid duplicate energy assistance benefit payments to the same applicant household.  I hereby authorize energy program staff to also use my social security number for income verification purposes (including Employment Security Unemployment Insurance and DSHS Food Assistance). I further authorize this agency and COMMERCE to use my personal information within their organizations for the purpose of identifying and reporting unduplicated non-personal applicant data.

Puget Sound Energy  (PSE HELP)
I certify that I have provided and reviewed the above information, which is accurate to the best of my knowledge.  I understand that I may be subject to criminal prosecution if I have knowingly provided false information.  Additionally, I hereby  authorize Puget Sound Energy, Inc. ("PSE"), this Agency, and Washington State Department of Commerce (COMMERCE) to exchange and release, disclose and make available to each other, information about me, my use of PSE products and services and/or my application for or participation in the PSE HELP program. This includes any information furnished or disclosed by me to this Agency herein or otherwise and any other information necessary or useful in assessing, documenting or confirming my eligibility or ineligibility to receive PSE HELP benefits (including Employment Security, Unemployment Insurance and DSHS Food Stamp benefits) or for current or future data analysis. I do so with full knowledge that this information is or may be confidential and as such will be protected from unauthorized disclosure. I understand that this authorization may be revoked at any time by written notice to PSE and this Agency. Until such time as I do so revoke this authorization in writing, however, this authorization shall remain in full force and effect and PSE, this Agency, and COMMERCE may rely on this authorization in exchanging, releasing, disclosing and making available to each other all such information.

Upload Image
You're almost done!
Please upload any additional document(s) here

*Upload any additional document(s) here - Heat With Rent, Additional Income Sources, etc.*
Missing Documents?

If you have uploaded all required documents, leave this blank!!!

Upon hitting "Submit", you will receive a confirmation email with a PDF of your response, as well as a link to verify your response's E-signature.  Please check your "Junk" folder if you do not see them in your Inbox.

  • If you receive errors upon submission and need help troubleshooting, please contact our Technology Coordinator @ 206-812-4950, or via email: Jacob@byrdbarr.place

Thank you for taking the time to fill out the online Energy Assistance Application.

Optional Survey