1. Customer Support
  2. Financial Assistance Programs

Household Assistance Program Enrollment

Account Holder

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*PLEASE NOTE: All fields marked with an asterisk (*) are required.

HAR Enrollment Type

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Please select your enrollment type.
  • New Enrollment
  • Renewal

Eligibility Requirements

Fields with * are required

Fields with * are required.

Please check all program(s) from which you now receive assistance.
Home Energy Assistance Program - HEAP (Provides the largest discount)
Medicaid
Supplemental Nutrition Assistance Program (SNAP)
Federal Public Housing Assistance
Supplemental Security Income (SSI)
Temporary Assistance - Family Assistance/Safety Net Assistance
Veteran's Pension - Non-Service Connected Disability
Veteran's Surviving Spouse Pension - Must meet income requirements
Child Health Plus
Federal Lifeline Program

*I agree - I certify that the information on this form is correct. I agree that PSEG Long Island may contact the Nassau or Suffolk County Social Services Agencies, NYC Community Development Agency, NYC Human Resources Administration, the Veteran’s Administration or any other related agency to verify the information I am submitting.

*I agree - I certify that the attached documentation is dated within the last 12 months.