Energy Services Connect Select Overview Eligibility Get Started Resources Apply Online Contact Us Apply Online If answering the questions below and the application is closed, please try again at the beginning of next month. Energy Submission Form Is your home address in Marion or Polk County? * Yes No Do you or someone living in your home pay a utility company or property manager for energy costs or purchase heating fuel such as firewood, propane or pellets? * Yes No Do you have additional documents to upload for your application? If so, answer "Yes" and upload into the drop box below. If you answer "No," you can ignore the drop box. * Yes No File Upload Drop a file here or click to upload Choose File Maximum file size: 516MB Does the household total income, you and the people you live with, meet the gross income limits listed below? * Yes No Submit If you are human, leave this field blank.