Heat Program

Forms to Download

Open Annually from November 1 to April 30*

Need help with your heating costs this winter?

The HEAT Program helps families in low-income households pay their bills during the coldest months of the year. We also offer crisis assistance year round. If you live in Salt Lake County or Tooele County and you need help with your heating costs, apply today.

How to Apply

Option 1: Schedule an appointment

You can schedule an appointment online or call 801-521-6107 or 844-214-3090 to set up a time.

Remember to bring the required documents to your appointment.


Schedule an Appointment


Option 2: Apply online, if eligible

You might qualify to submit your HEAT application online. Click here to see if you’re eligible and start the process if you are.


Option 3: Print and send by mail

You may send a completed form, along with copies of all required documents, to the Utah Community Action HEAT Program at the following address: 764 South 200 West, Salt Lake City, UT 84101.

Download and complete one of the following forms:

HEAT Application

HEAT Application (en Español)

HEAT Application (Single Person Household)

To access additional HEAT forms:  https://jobs.utah.gov/housing/seal/otherheatforms.html

If you need help with the application process, please call 801-521-6107.

What to Bring to Your Appointment

Identification (Required)

  • Photo ID
  • Social Security cards for all household members
  • Birth certificates for children under age six


Proof of Income and Expenses (Required)

  • Copies of your most recent utility bills
  • Proof of all household income for the previous calendar month
  • Receipts for all household medical expenses for the previous calendar month (if applicable)
  • Proof of disability (if applicable)


Forms (Optional)

If you prefer to fill out your form ahead of time, you can print it and bring it with you. 

Who Qualifies for HEAT

To qualify for HEAT assistance in Salt Lake and Tooele Counties, you must meet the following requirements:

  • Must be the person responsible for the utilities
  • Must have at least one household member who is a US citizen or qualified alien
  • Must have an income at or below 150 percent of the federal poverty level



HEAT Program Referrals

Do you have someone you know that needs assistance with paying their electricity, gas, or other heating bills from the high costs of winter? With their permission you can give us their information and we would be happy to contact them to help them apply for our services.

About HEAT


The Home Energy Assistance Target (HEAT) Program helps families in Salt Lake and Tooele Counties manage their utility costs during the winter. HEAT is a federal program administered by the State of Utah and offers assistance to residents from Nov. 1 to March 31 unless funds run out early.

For information on year-round energy crisis assistance, call 801-521-6107.