California Online LIHEAP Application

Account Registration

Please correct the following errors:

Name and Address

Name*:

Zip Code*:

City*:

County*:

Authorization and Contact Information

User Name*:

IMPORTANT! Make sure you enter an email address you can access. You will be required to confirm the address before you can use the site.

Email Address*:

Alternate Email:

Password*:

Password safety

Confirm Password*:

Confirm the Code*:

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Application version: 2.171.0.0