MEAP Self Sufficiency Plan Application

PART 1 of 2

  • Household Information

    Attach extra pages if you need to include additional members. 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.

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  • Enter the names and relationship to you of any other persons living in the household.
  • MM slash DD slash YYYY

  • MM slash DD slash YYYY

  • MM slash DD slash YYYY

  • MM slash DD slash YYYY

  • MM slash DD slash YYYY

  • MM slash DD slash YYYY

  • MM slash DD slash YYYY

  • Household Address (Service Address)

  • Mailing Address, if different than above

  • Home Heating Credit (HHC)

    Have you applied for or received the HHC (Energy Draft) in the last six (6) months?

  • Have you received energy assistance from another agency or through a provider-sponsored program since October 1, 2021?

  • Annual Household Income

    Please select the total combined Gross Annual (Household) Income from all sources of income that anyone in your household (all members of your household) received this year.

  • Electric (non-heat) Provider Information

  • Heat Provider Information

  • *Electric heat sources include solar panels, boilers, radiators, or baseboard heating but DO NOT include space heaters

  • Propane/Fuel Oil Information (if applicable)

  • Wood Information (if applicable)

  • General Questions

  • Digital Signature Requirement

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

  • Affordable Payment Plan

  • Terms of service: Consumers Energy DTE Energy SEMCO Energy UPPCO Great Lakes Energy

  • Digital Signature


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