PowerOn and GAP Application

Account number is either 10 or 13 digits long. It is located on the top right corner of your Xcel Energy bill. If you do not know your account number, please call Xcel Energy at 1-800-895-4999

ElectricityNatural Gas

If your electric or gas service with Xcel Energy is currently SHUT OFF:

Complete and Submit this application, then call our office at 651-774-9010 to alert us of your situation.

STOP

You do not qualify for the POWER On or GAP Program at this time.

You must receive a grant from the Energy Assistance Program (LIHEAP) in order to participate in Xcel Energy's Gas Affordability Program and/or POWER On program. Click on the link below for more information on the Energy Assistance program in Minnesota.

https://mn.gov/commerce/consumers/consumer-assistance/energy-assistance/

Street Address

Apartment / Lot Number (If applicable)

CityState / Province

Postal / Zip Code

Street Address

Apartment/Lot Number

CityState / Province

Postal / Zip Code

HomeWork PhoneCellOther

By signing this document, I am giving Energy CENTS Coalition and Xcel Energy permission to obtain information about me and I am agreeing to the following:

I agree that I have received Energy Assistance for the current Low Income Home Energy Assistance Program (LIHEAP) federal fiscal year.
I agree to allow Xcel Energy to use payment information in the evaluation of the program.
I agree to allow the Energy CENTS Coalition to obtain account information, including LIHEAP status, from Xcel Energy necessary to process this application.
I understand I must make my monthly bill payment in order to stay in the program, to receive credit toward past due amounts and to prevent service disconnection.
I agree to notify Energy CENTS Coalition if there are changes in my income, household size or if I move.
I understand that enrollment in this program will automatically cancel my Averaged Monthly Payment enrollment or any other previously agreed upon payment plan.
I agree to allow the Energy CENTS Coalition to share any of the above information with other organizations that provide energy assistance, conservation and other services.
I agree to allow heating and electricity companies to give data about my account and energy use to the Energy CENTS Coalition for the PowerOn program and any Energy CENTS Coalition conservation programs.

PowerOn and Gas Affordability Program Application