Neighbor Connect for UniSource

Date Submitted

Date

Hour MinutesAM/PM Option

I would like assistance with

Other

Do you qualify?

We understand our customers sometimes face financial challenges, and when they do, we are ready to help. Our Customer Assistance Residential Energy Support (CARES) program offers monthly discounts for low-income customers who need help paying their gas or electric bill.

Discounts are available to customers who meet specific eligibility requirements.

How to apply

There are two ways to sign up for the CARES program:

Apply using online form
Or download and complete the form and submit it to UniSource following the instructions on the form.
- Electric Customers
- Gas Customers

Are you signed up for a monthly discount through UniSource's CARES Program?

Do you qualify?

We understand our customers sometimes face financial challenges, and when they do, we are ready to help. Our Customer Assistance Residential Energy Support (CARES) program offers monthly discounts for low-income customers who need help paying their gas or electric bill.

Discounts are available to customers who meet specific eligibility requirements.

How to apply

There are two ways to sign up for the CARES program:

Apply using online form:
- Electric Customers
- Gas Customers
Or download and complete the form and submit it to UniSource following the instructions on the form.
- Electric Customers
- Gas Customers

Your Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Your UniSource Account Number

Do not omit the leading zeroes

Address

Street Address

Street Address Line 2

CityState

Zip Code

I am interested in receiving further assistance for

UniSource can help connect you with community organizations that may be able to assist you. These organizations operate independently of UniSource and we do not manage, approve, or guarantee their services.

I am interested in receiving further assistance for

Other

Please note that we are unable to guarantee financial assistance or outcomes through this request. This form is intended solely to help connect you with a Community Action Agency or similar community partner that may be able to provide support based on their available programs, eligibility requirements, and funding. Assistance is not guaranteed, and all decisions are made independently by the agency.

Because you selected “Other,” we may not be able to provide direct support for your request. We will review the information provided and, when appropriate, direct you to resources that may be able to assist. Assistance is not guaranteed.

Please verify that you are human

You may voluntarily provide the personal information required to complete this form. UniSource uses this information to fulfill the purpose for which it was obtained. To find out more about the categories of personal information UniSource collects and the purposes for which such information will be used, please refer to our Privacy Policy.