Energy Team Interest Form

There was an error with your entries to this form, please double check all entries and resubmit the form. If you still cannot complete the form entry, please send a description of your issue to webmaster@sdge.com and we'll review the form for any technical issues.

We have received your form, thank you for your inquiry. A representative from the Energy Team will contact you regarding your interest in the program. If you have any questions, please call 1-866-597-0597.

Contact Information:

  • Your Name:

  • Home Address:

  • Apartment/Space #

  • If mobile home park, provide park name:

  • City:

  • Zip Code:

  • Daytime Telephone:

    (do not include dashes)

  • Alternate telephone:

    (do not include dashes)

  • E-mail Address:

Number of Persons in Household:

  • Adults:

  • Children:

Primary Language:

Choose the way that you may qualify for the program:

  • I am currently enrolled in one of the following programs:

  • Medicaid / Medi-Cal - Under 65

  • Medicaid / Medi-Cal - Over 65

  • Healthy Families A & B

  • Food Stamps / SNAP

  • Head Start Income Eligible (Tribal Only)

  • Bureau of Indian Affairs General Assistance

  • Woman, Infants and Children Program (WIC)

  • National School Lunch Program (NSLP)

  • Low Income Home Energy Assistance Program (LIHEAP)

  • Supplemental Security Income (SSI)

  • TANF or Tribal TANF

  • I qualify based on my income level.

  • Total Yearly Household Income:

How did you hear about our programs:

If you have a source code, enter it here:

By providing this information and submitting this form, you are agreeing that a representative from SDG&E’s third party contractor has permission to review the information and contact you to schedule an in-home qualification visit. If your household qualifies, the third party contractor will schedule an appointment to install recommended program measures.