Energy Conservation Assistance Program Intake

Review the Energy Conservation Assistance Program page for eligibility, availability, required information, and contact details before completing this form.

Energy Conservation Assistance Program

By filling out the form, you consent to being contacted regarding any of our energy-saving programs. We appreciate your commitment to making a positive impact on the environment, and thanks to FortisBC, you can save money while doing so.

Name(Required)

First Name Last Name

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Please select one of the following(Required)

I am a homeowner

I am a renter

What region do you live in?(Required)

Which program are you interested in?(Required)

Seelct your electricity provider(Required)

What is your Electricity Account Number?(Required)

If you use gas, is FortisBC your provider?(Required)

Yes

Type of home you live in(Required)

Select your primary heat source(Required)

Select your secondary heat source(Required)

Hot water heating

Does your home post any health and safety concerns? (Do you have any notable health concerns we should be aware of?

Ex. Disabilities, Physical restrictions, etc.)