Low-Income Home Energy Assistance Program -
LIHEAP
Application
Apply for the Low-Income Home Energy Assistance Program (LIHEAP) through OlyCAP to get help with home energy costs in Clallam and Jefferson Counties. Our team makes the process easy and confidential, offering support for high heating bills or utility shut-offs so you can keep your home safe and comfortable.
- The application will remain open until it is filled.
- Paper applications are available for those who do not have internet access or need assistance.
- All Required documents must be submitted at the time of application.
- The Online application will remain open until the queue is The application will reopen periodically, and new dates will be published on the website.
- Important Note: Applications for people in imminent crisis are defined as: a 72‐hour shutoff notice, disconnected for nonpayment, or without heat/fuel. If you are in a crisis and the online application is closed, please contact us by phone or in person.
Energy Assistance Forms
Energy Assistance Self-Employment Statement
If you are self-employed and applying for energy assistance, please complete and submit the following document to verify your self-employment income:
Energy Assistance Self-Employment Statement
Energy Assistance Landlord/Manager Statement
If you are a renter applying for energy assistance, please have your landlord or property manager complete and submit this form to verify your residency and housing details:
Energy Assistance Landlord/Manager Statement
Employer Income Statement
If your employer needs to verify your work income as part of your energy assistance application, please ask them to complete this form. It provides essential employment and wage information required to determine your eligibility for support.
Propane Small Tank Agreement
If you use small propane tanks to heat your home, please complete this agreement as part of your energy assistance application.
Consent form
To process your energy assistance application, we require your consent to share and verify necessary information with the Washington State Department of Social and Health Services (DSHS). Please fill out this form so that OlyCAP can coordinate essential support in partnership with DSHS for you.
Miscellaneous Income Statement
If you receive income from sources other than wages or self-employment, please use this form to document any additional funds you receive.
Miscellaneous Income Statement
Statement of Responsibility
This form is used to declare who is financially responsible for the utility bill in your household. Please complete and sign this statement so OlyCAP can confirm who will receive and pay the energy bill as part of your energy assistance application.
Proof of RV Residence
If you live in a recreational vehicle (RV), please complete this form to verify your current residence. Submitting proof of RV residency helps OlyCAP confirm your living situation and ensures your eligibility for energy assistance.
No Income Statement
If you currently have no income, please complete this form to confirm your household’s financial situation. This helps OlyCAP verify your eligibility for energy assistance and ensures we have accurate information to support your application.
Required Documents
Always Required Bring Every Time
| Document | When Needed |
| Primary Heat Source Bill | Always upload/bring your current heat bill. |
| Photo ID | For every household member 18 or older. |
| DSHS Consent Form | For every household member 18 or older. |
| Social Security Card | For all household members. If unavailable, bring a medical, legal, or government-issued document. |
| Proof of Income (last 2 months) | For all household members 18+ (pay stubs, bank statements, unemployment benefits, pension statements). |
If This Applies to You Bring Only If Needed
| Document | When Needed |
| Birth Certificates | If you have children under 1 year old without a Social Security number. |
| Verification of Children Living in Household | If asked (School ID, Passport, Medical Card, Child Care Plan, etc.). |
| Tribal LIHEAP Denial Letter | If you are a tribal member within a Tribal LIHEAP service area. |
| Social Security Award Letter | If you receive SSA, SSI, or SSDI. |
| No Income Statement | If you currently have no income. |
| VA Benefit Letter | If you receive VA disability benefits. |
| Child Support Records | If you pay or receive child support (declarations, DSHS statements, or processed checks). |
| Rental/Utility Statements | If utilities are in someone else’s name, heat is included in rent, or you live in an RV/propane/wood-heated residence. |
2025-26 Income Guidelines
| Household Size | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
|---|---|---|---|---|---|---|---|---|
| Gross Monthly | $1,956 | $2,643 | $3,331 | $4,018 | $4,706 | $5,393 | $6,081 | $6,768 |
| Gross Yearly | $23,475 | $31,725 | $39,975 | $48,225 | $56,475 | $64,725 | $72,975 | $81,225 |
Contact the LIHEAP Office
Please contact the Port Angeles LIHEAP office beginning October 1st if you have any questions.
Address:
228 W 1st St., Ste J
Port Angeles, WA 98362
Phone: (360) 452-4726
Fax: (360) 457-4331
Email: energyassistance@olycap.org
Frequently Asked Questions
What should I do if my utilities have been disconnected or I have less than a 10-day supply of oil, wood, or propane?
If your utilities have been disconnected, or you have less than a 10-day supply of oil, wood, or propane, call your local OlyCAP office immediately for crisis imminent notification. Emergency status will be confirmed with your utility provider before application submittal.
What should I do if I have a disconnect notice?
If you have received a disconnect notice, contact your energy provider right away to arrange a payment plan. Once you have a payment plan, contact OlyCAP to begin application process.
Who are the local energy providers?
For energy assistance, you may need to contact your provider directly:
City of Port Angeles: 360-457-0411
Clallam County PUD: 360-452-9771 (Option 2)
Jefferson County PUD: 360-385-5800
Mason County PUD: 360-877-5249
What Low-Income programs do the local energy providers offer?
All of the local energy providers have low-income assistance programs. Please find specific information at the following websites:
Clallam County PUD Rate Payer Program
Assistance Programs – Clallam County PUD
Jefferson County Rainy Day Program
Payment Assistance Programs - JPUD
City of Port Angeles Pass the Buck Program
Programs | Port Angeles, WA - Official Website
Mason County PUD #1 Cares Program
What does LIHEAP (Low-Income Home Energy Assistance Program) cover?
LIHEAP funding is available from October 2025 through August 2026. You can get help with costs for electricity, oil, propane, wood, and wood pellets. LIHEAP grants can also help if your heat is included in your rent.
Are there other local programs that assist with energy costs?
Yes! If you are finding that you are in need of further assistance than we can provide, we can connect you with other resources in the area.
Who do I contact for tribal LIHEAP?
Some local tribes have their own LIHEAP programs. Here are the websites of local tribes that you may work with to obtain services if you are a member of the tribe and within the service area. We suggest searching “LIHEAP” on each website to gain more information and access to applications.
All applicants will be notified of eligibility for the program as soon as possible.
Please be patient! Demand for services is high, and staff is limited.