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CARE Application and Renewal for
Sub-metered Tenants of Mobile Home Parks
and Apartment Complexes Only

Applicant Information   ?

* Indicates required field                                                                                    



Please enter your 10 digit facility ID * If you do not know your facility ID,
call 1-800-427-2200.
Total Number of Persons in Household * Include yourself, other adults and children in the household
First Name *
As it appears on your bill 		Last Name *
As it appears on your bill
Address * Apartment / Unit *
Email Address   Home Phone           
Retype Email Address   Cell Phone           

CARE Participation   ?

 

 


Please select one of the following:
 
 
-You have requested to be removed from this program. Your account will be removed from the CARE Program and you will no longer receive the 20% discount.
 
If you or someone in your household receive benefits from any of the following programs,
please check the box(es) for all that apply.
          
          
          
          
          
          
          
          
          
          
          
Please check the box(es) for all sources of income in your household and provide your total household income below:
          Source(s) of Income
          
          
          
          
          
          
          
          
          
          
          
          
          Please indicate your household's income range per year before deductions.
 




Terms and Conditions   ?

 

 


Declaration Statement: I state that the information I have provided in this application is true and correct. I agree to provide proof of CARE eligibility if asked. I agree to inform Southern California Gas Company (SoCalGas®) if I no longer qualify to receive the discount. I understand that if I receive the discount without qualifying for it, I am required to pay back the discount I received. I understand that SoCalGas can share my information with other utilities or agents to enroll me in their assistance programs.