Forms & Applications

Forms and Applications to be downloaded, printed and completed:

Energy Intake Form CSD 43

English   |    Español

Client or Customer Consent – CSD081

English    |    Español

Certification of Income and Expenses Form CSD 43B

English     |    Español

Energy Service Agreement for Rental Property Owner – CSD 515C

LIHEAP Application Instructions

Download    |    Español

Client Education Form

PDF 

Checklist of Energy Efficient Practices

Making the Most of Your Money

LIHWAP Application Instructions

LIHWAP Intake Form CSD 41

Ready to submit your application?

We offer three ways to submit your application for assistance from CAPK’s Energy Program:

  1. Fax your application to (661) 336-5263
  2. Email your application to heapoffice@capk.org
  3. Mail or Drop off your application to the Energy Program office:
    CAPK Energy Program
    300 19th Street
    Bakersfield, CA 93301