Request An Application For Energy Assistance & Weatherization

COVID-19 Crisis Update: Many, but not all Resource Centers are open during this crisis. Please call your local resource center to confirm. Great Northern’s lobby remains open with social distancing measures in place. We are also happy to provide extra assistance by phone during these times. If you are having trouble filling out the application please leave a message at (530)938-4115 ext 120 and we’ll call you to go over the paperwork.

Fill out this form to request an application for GNS' Energy Assistance and Weatherization programs be sent to you through USPS.
Please note: We are happy to send you an application in the mail, but if you are facing an energy crisis picking an application up from your local Family Resource Center can be faster. They have our applications on hand and can go over them with you to help you fill them out.

Your Name*
Care of
(Fill this out if you are using someone else's address to receive mail.)
Mailing Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Please provide a phone number where we can reach you if we have any questions.
Email
*
- I understand that GNS can only provide assistance to people who live in Siskiyou County.

Location and Mailing Address

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