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 follow the prompts and answer all questions
  • 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 processed until these documents are received by upload or by mail.
  • If uploading pictures, please ensure the pictures are clear and readable.
All information is confidential and will only be used to deem eligibility for Byrd Barr Place's Energy Assistance Programs



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.*





*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




This address should match your heat bill! Please include Apartment/Unit #



Please include Apartment/Unit #








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.*


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

3 Month History - Supplemental Security Income (SSI)

Income

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

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

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

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

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

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

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

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

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

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

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

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. 





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











Income Section

3 Month History - Supplemental Security Income (SSI)

Income

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

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

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

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

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

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

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

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

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

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

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

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! 

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.

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*Upload any additional necessary document(s) here - Heat With Rent, etc.*