Integrated Community Services
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Reporting Community Services Hours

Below you can download and print the required Community Service Form for the Energy Assistance Program. It is to be filled out by the person in charge at which ever organization you choose to complete your community service hours.

(Community Service hours can only be substituted for a payment to your utility provider if you already have an arrangement with an energy specialist for the current heating season. For more information regarding community service hours for energy assistance benefits call (920)448-4540 to set up an energy assistance appointment today!)

Community Service Form
Print this form to report community service hours for Energy Assistance.

 

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201 W. Walnut St. Green Bay, WI 54303 PHONE: (920) 448-4540 FAX: (920) 448-4578