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Page 1

Applicant Information





Part A – Household Information



Please list everyone who lives in your household, including their date of birth.

A Household Member includes the following people: Adults, children, children temporarily absent due to illness or employment, and anyone who sleeps and keeps their belongings in your home.






Part B – Household Address and Contact Information


Household Service Address




Mailing Address (if different than above)




Before Next Section


Page 2

Part D – Emergency Need

(Includes solar panels, boilers, radiators, or baseboard heating, DOES NOT include space heaters)


Heat

$

$

%
(Payment for deliverable fuel will not be made if, at the time of delivery, it is confirmed that you have more than 30 percent of the fuel remaining in your tank.)

Electricity (non-heating)

$

$

Part E – Heating Provider Information






If you chose either Consumers, DTE, SEMCO, or UPPCO you may be eligible to enroll into an Affordable Payment Plan once you've completed the Needs Assessment with our staff. If you haven't already: click here to complete the Needs Assessment.

**Please make sure that you marked HEAT under the services you're requesting above






Part F – Electric Provider Information






If you chose either Consumers, DTE, or UPPCO you may be eligible to enroll into an Affordable Payment Plan once you've completed the Needs Assessment with our staff. If you haven't already: click here to complete the Needs Assessment.

**Please make sure that you marked HEAT under the services you're requesting above




Page 3

Part C – Categorical Eligibility



Household Proofs
Please attach proofs for the program(s) in which any household member is currently enrolled.





Part G – Household Income


$


Recipient Info


(If employed)

(Amount before taxes and expenses)

(Weekly, biweekly, monthly, etc.)
Household Proofs
Please attach proofs of any income for the home. Please contact our office with any questions or issues with submissions.

Part H – Deductible Expenses
Check all expenses your household pays and attach proof for each checked item.



(1 mo., 3 mos., etc.)




Deductible Proofs
Please attach proofs of any checked deduction above if not included in your eligibility proofs (i.e. directly deducted from your paystub or benefits)

Page 4

Part I – Certification
(Check the box to each certification statement below.)
Signature Section

Please allow up to 8 days for us to process your application.
  • Utility holds will not be placed until the application is processed and all verifications are received. 
  • If you are State Emergency Approved for heat or electric ONLY since October 1, 2025, you do not need to upload any eligibility or income documents because MDHHS has already verified income for your household.
  • If you have a State Emergency Relief co-pay, you must provide the complete MDHHS letter with your application.
  • If you have already been approved with SWP MEAP since October 1, 2025, and select no changes in eligibility or income, you are not required to upload documents.
  • If you have fuel oil, propane or wood pellets you can help speed up the process by contacting your provider and requesting that they email us a quote.
  • If you want to be enrolled in an affordable payment plan with Consumers, DTE, SEMCO or UPPCO, you must complete the Needs Assessment and speak with a caseworker to create an Energy Security Plan.
  • If you forgot to upload eligibility documents, 30 days proof of income for everyone in home or utility bills, please send them to meap@superiorwatersheds.org.
  • We serve all 15 Upper Peninsula of Michigan counties and the following counties in Nothern Michigan: Alpena, Antrim, Charlevoix, Cheboygan, Emmet, Leelanau, Montmorency, Otsego and Presque Isle.  If you live in an other Michigan county, contact 211 to find a MEAP Grantee near you.
  • We accept MEAP applications Monday 8:30 AM to Friday 5:00 PM Eastern Time Zone.  We do not accept applications on weekends and Federal Holidays.