Fillable CARE CARESoCalGas 20% SoCalGas 1) myaccount.socalgas.com socalgas.com/care (SoCalGas)

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CARE CARESoCalGas 20% SoCalGas 1) myaccount.socalgas.com socalgas.com/care (SoCalGas)

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socalgas.com/Improvements
1-800-331-7593
󼍧󺹻󼢻󺞗󻨓󽴔󻪟󺗗󻺏󽴔󺟏󼆃󽴔󻭣󺋗CARE󼧓󺴫󺋇󺱷󻰏󻱟󺅸󻰓󽴔󺃥󼉧SoCalGas
®
󺆯󺃬󻪟󺅛󻮣󺃓󽴔󼅫󻪿󽴔󺃏󻝳󽴔󻭣󺋗󻰓20%󼨯󻱇󺣫󽴔󺃏󺅸󻰋󺴫
󻳫󺇄󼨸󺞗󺞳󼨯󻱇󻰏SoCalGas󺃏󽴔󻞯󼅼󻰓󽴔󻞈󻱇󼨫󽴔󺞳󻰛󽴔󺕯󽴔󻱃󼮓󻰧󽴔󻮣󺃓󽴔󼅫󻪿󽴔󺃏󻝳󽴔󺆯󻺏󻗫󻪟󽴔󻳐󻭸󺣸󺞗󺞳
󻨓󺱧󻪟󽴔󺕧󻫃󺣫󽴔󻃸󻅤󽴔󻷠󽴔󼨧󺕧󺹋󽴔󻕻󻭸󼨧󻪻󽴔󻱠󻘀󼨫󽴔󻞯󼅼󻗫󺹋󽴔󻳫󼉫󼨧󻞼󻞫󻫳
1) myaccount.socalgas.com 󺫟󺝣 socalgas.com/care󺹋󽴔󻃸󻀇󼨧󻞼󻞫󻫳󻞯󼅼󻰏󽴔󻹘󻞫󽴔󼅧󺹻󺣯󽴔󺅒󻱔󺞗󺞳
(SoCalGas 󻭣󺋗󽴔󺆯󻺏󻗫󽴔󺆓󻳤󻱃󽴔󻱗󺝣󽴔󺆯󺃬󻰧󽴔󺆌󻭿)
2) 󼨧󺶷24󻞫󺃓󽴔󻪇󻳫󺦯󻺏866-716-3452󺴫󽴔󻳓󼬣󼨧󻞼󻞫󻫳󺆓󻵛󽴔󻅗󼬇󺹋󽴔󻷏󻌓󼨧󻞼󻞫󻫳
3) 󻱠󻘀󽴔󻃞󽴔󻗫󺽔󼨫󽴔󻞯󼅼󻗫󺹋󽴔󻭿󻙰󼨧󺄿󺕧213-244-4665󻪟󽴔󼟸󻝳󺴫󽴔󻇃󺖃󻞼󻞫󻫳
CARE 󻞯󼅼
20% 󼨯󻱇
󺼣󺧣󼍋󺼣󺧣󼏏󻱃󺦫
󺃏󻵀󻰓󽴔󻯓󼨫Medi-Cal A & B
󻪻󻘀󻯯󻨓󽴔󻃞󽴔󻪃󺹿󻱃WIC
CalWORKs (TANF)
1
󻱇󺧣󻪇󽴔󻉏󻵀TANF
󼪳󺦫󽴔󻝳󼖏󼞇Head Start󻙛󺦬󽴔󻛧󼫫󽴔󻱟󺅸󻱇󺧣󻪇󽴔󻉏󻵀󺺛󽴔󼩃󺟈
󻱇󺧣󻪇󽴔󻕻󻀃󺈼󽴔󻱋󻃧󽴔󻺏󻮟
CalFresh󼥇󺦫󽴔󻝳󼖻󼧓
󻳓󺈼󽴔󼨨󺈟󽴔󺋘󻞬󽴔󼧓󺴫󺋇󺱷NSLP
󻳏󻙛󺦬󽴔󻷋󼖬󽴔󻪟󺗗󻺏󽴔󻺏󻮟󽴔󼧓󺴫󺋇󺱷LIHEAP
󻇃󻴿󻳐󽴔󻇃󻱴󽴔󻙛󺦬SSI
󺇄󻳐󽴔󻉏󻴿󽴔󼧓󺴫󺋇󺱷
󺆯󺃬󺞧󽴔󺫟󺝣󽴔󺆯󺃬󺞧󽴔󺃏󻵀󽴔󻷠󽴔󺞳󺹇󽴔󻕻󺱛󻱃󽴔󺞳󻰛󽴔󼧓󺴫󺋇󺱷󻰧󽴔󼫫󼖬󻰓󽴔󻃪󺝣󽴔󺆌󻭿
󼉣󺃏󽴔󺃏󻵀󽴔󺈻󻘀󻮟1󻱇󽴔󺟈, $8,960 󼉣󺃏
*󺇄󻳫󽴔󻳓󽴔󺽷󺦯󽴔󼉫󼅧󺴫󻉏󼗿󻰧󽴔󼫓󻱻󽴔󺃏󺈻󽴔󻙛󺦬󻰓󽴔󼢻󼨷󻞫󼕳󻞼󻞫󻫳.
󺃏󺈻󽴔󺈻󻘀󻮟󽴔󻛧 󼇬󽴔󻪿󺃓󽴔󻙛󺦬
*
󼈫󺟏󽴔󺃏󺆓󽴔󻙛󺦬
2020󺘓6󻮣1󻱋󻉏󼗿2021󺘓5󻮣31󻱋󺌛󻺏󽴔󻯯󼭷
󺫟󺝣
$34,480
$43,440
$52,400
$61,360
$70,320
$79,280
$88,240
1-2
3
4
5
6
7
8
1
󻖬󻕿󻳐󽴔󻇄󻺏(Welfare-to-Work)󺹋󽴔󼢻󼨷󻞫󼕳󻞼󻞫󻫳
󼄇󻪻󽴔󻴿󺅃
1) 󻯓󽴔󼤫󻪟󽴔󺕧󻬏󽴔󻱗󺝣󽴔󻱟󺅸󽴔󻭣󺅃󻰓󽴔󼉸󻵀󼩃󻩋󽴔󼨸󺞗󺞳2) 󼅫󻪿󽴔󺃏󻝳󽴔󻭣󺋗󽴔󺆯󻺏󻗫󺝣󽴔󺆯󺃬󺞧󻰧󽴔󻱃󺹓󻰋󺴫󽴔󺣧󻪃󽴔󻱗󻪃󻩋󽴔󼨧󺆯󽴔󻷋󻙛󺝣
󺆯󺃬󺞧󻰧󽴔󺋿󻇇󽴔󻷋󻙛󻱃󻪃󻩋󽴔󼨸󺞗󺞳3) 󻃿󻭿󻱟󺃏󽴔󻨓󺞛󽴔󺞳󺹇󽴔󻕻󺱛󻰧󽴔󻘇󺋗󽴔󻇃󺆯󻗫󻪟󽴔󻉏󻩠󽴔󺃏󻵀󻰋󺴫󽴔󻞯󺆯󺣧󺽃󽴔󻨗󺣸󺞗󺞳4) 󻭣󼅼󻞫
󺆯󺃬󺞧󻰧󽴔󻞯󼅼󻗫󺹋󽴔󺞳󻞫󽴔󻹬󺽔󼩃󻩋󽴔󼨸󺞗󺞳5) 󺠣󽴔󻱃󻖐󽴔󻱟󺅸󻱃󽴔󻪕󻰋󺽃30󻱋󽴔󻱃󺖃󻪟SoCalGas󻪟󽴔󼚄󻇃󼩃󻩋󽴔󼨸󺞗󺞳6) CARE
󻱟󺅸󻰓󽴔󻹬󺽔󼨧󺱋󺝣󽴔󻭣󼅼󻰓󽴔󻃪󻰓󽴔󻛧󽴔󻱗󻞄󺞗󺞳
󺆯󺃬󺞧󺎧󻗫󽴔󻱟󺅸󻱃󽴔󺣯󽴔󻛧󽴔󻱗󺝣󽴔󺞳󺹇󽴔󼧓󺴫󺋇󺱷󽴔󻃞󽴔󻗫󻌓󻝳:
English: 1-800-427-2200 한국어: 1-800-427-0471 中文: 1-800-427-1429
廣東話: 1-800-427-1420 Español: 1-800-342-4545
Việt: 1-800-427-0478
󼟸󻝳: (213) 244-4665 󼅼󺃐󽴔󻱴󻨯󻱟 (TDD/TTY): 1-800-252-0259 (󻫐󻪃󽴔󻃞󽴔󻝳󼡧󻱇󻪃󺴫󺺛󽴔󻳫󺇄󺣷)
󻌓󻭸󻰓󽴔󻳗󻩌󼨧󺆯󽴔󻇃󺞳󽴔󻨗󺱌󼨫󽴔󻖬󼬫󻪟󽴔󺢓󻮏󻰓󽴔󻷋󺝣󽴔󻪟󺗗󻺏󽴔󻳗󻩌
󻷋󼖬󽴔󺃫󻴿󺹋󽴔󻀃󺶛󺴫󽴔󻃪󻰋󻞼󻞫󻫳
󻰧󺶛󽴔󺋿󻷏󽴔󼨯󺟈
󺆯󺃬󺞧󻰧󽴔󺅃󺃤󽴔󻖐󼖫󺃏󽴔󻯓󻷠󼨫󽴔󺆌󻭿
󺃏󻱴󽴔󺕽󻰏󽴔󺋿󻷏󽴔󻭣󺋗󻰋󺴫󽴔󼅫󻪿󽴔󺃏󻝳󺹋
󼉣󺃏󺴫󽴔󻪊󻰋󻞼󻞫󻫳
socalgas.com/medical
1-866-431-3517
󼍧󺹻󼢻󺞗󻨓󽴔󻳏󻙛󺦬󽴔󻳓󼬣󽴔󻭣󺋗󽴔󼨯󻱇
(CALIFORNIA LIFELINE)
󻱟󺅸󻱃󽴔󺣧󺝣󽴔󺆯󺃬󻰓󽴔󻯓󼨫󽴔󻳓󼬣󽴔󻭣󺋗
󼨯󻱇󽴔󻗫󻌓󻝳
󻱟󻘇󼨫󽴔󻳤󻇃󺝣󽴔󻳓󼬣󽴔󻗫󻌓󻝳󽴔󻳫󺇄
󻪔󼆃󻪟󽴔󻀇󻰧󼨧󻞼󻞫󻫳
󻳏󻙛󺦬󽴔󻪟󺗗󻺏󽴔󻇃󻴿
󺆯󻺏󻗫󽴔󻭣󺋗󽴔󺕸󻉏󽴔󻺏󻮟󺌃󺋘󽴔󻭣󺋗
󺆯󻺏󻗫󽴔󻺏󻮟󽴔󻃞󽴔󺖃󼮓󻘀󽴔󻗫󻌓󻝳
1-866-675-6623
󺆯󺃬󺞧󽴔󺃏󻳤󻰓󽴔󻯓󼨫󽴔󺢓󻮏
󻰧󼨨󻳐󽴔󼨓󻭣󻪟󽴔󺟏󼨫󽴔󺢓󻮏 󻳓󼬣󽴔󻭣󺋗󻪟󽴔󺟏󼨫󽴔󺢓󻮏 󺆯󻺏󻗫󻪟󽴔󺟏󼨫󽴔󺢓󻮏
󻱟󺅸󻰓󽴔󻪊󺝣󽴔󻃸󻅤󻪟󺝣 󺤟󽴔󺃏󻺏󺃏 󻱗󻞄󺞗󺞳
socalgas.com
1 (800) 427-2200
20% 󼨯󻱇 CARE 󻞯󼅼
󻺓󼨫󽴔󼟛󺱏󻖘󽴔󺫟󺝣󽴔󺅏󻳤󻖘󽴔󻱘󼔻󺺛󽴔󻕻󻭸󼨧󻞼󻞫󻫳
󺆓󻳤󽴔󻅗󼬇

󻞯󻙜󼨫󽴔󼅧󺹻󺹋󽴔󻯓󼩃󽴔󺆯󺃬󺞧󻰧󽴔󺆓󻳤󽴔󻅗󼬇󺹋󽴔󻨛󺳳󻷋󻞼󻞫󻫳
󺆯󺃬󽴔󻱃󺹓󻭣󺋗󽴔󺆯󻺏󻗫󻪟󽴔󺕧󻬏󽴔󻱗󺝣󽴔󻱃󺹓󽴔󻃞󽴔󻘀
󻷋󻙛 󻨓󼟛󼞇󻝳󼡧󻱃󻝳󽴔󻅗󼬇
󻞫 󺋿󻇇󽴔󻳓󼬣
󻱃󽴔󻞯󼅼󻗫󺹋󽴔󻱠󻘀󼨧󻪻󽴔󻭿󼢇󽴔󺫟󺝣󽴔󼟸󻝳󺴫󽴔󻇃󺖃󺄿󺕧 socalgas.com/care󻪟󻗫󽴔󻫷󺱋󻱇󻰋󺴫󽴔󻞯󼅼󼨧󻞼󻞫󻫳.
󺞳󻰛󽴔󻷋󻙛󺴫󽴔󻭿󻙰󼨧󻞼󻞫󻫳: SoCalGas M.L. GT19A1, P.O. Box 3249 Los Angeles, CA 90051-1249 󺫟󺝣(213) 244-4665󺴫
󼟸󻝳󼩃󽴔󻷋󻞼󻞫󻫳
/ /
1
2
3
󺆯󺃬󺞧󻰧󽴔󺃏󺈻󽴔󺈻󻘀󻮟󽴔󼇬󻛧󺆯󺃬󺞧󺞳󺹇󽴔󻘀󻱇󽴔󻃞󽴔󻨓󻱃󺦳󻰓󽴔󼢻󼨷󻞫󼕳󻞼󻞫󻫳:
1 2 3 4 5 6 6󺽔󽴔󻱃󻖐󻱇󽴔󺆌󻭿:
$0 – $34,480
$34,481 - $43,440
$43,441 - $52,400
$52,401 - $61,360
$61,361 - $70,320
󻨓󺞗󻫳󻨓󺞗󻫳󻰧󽴔󺆌󻭿󺽷󺦯󽴔󺃏󺈻󽴔󺈻󻘀󻮟󻰓󽴔󼢻󼨷󼨫󽴔󺆯󺃬󺞧
󺃏󺈻󻰧󽴔󺇄󻳫󽴔󻳓󽴔󻪿󺃓󽴔󺃏󺈻󽴔󻙛󺦬󻰏󽴔󻪋󺺗󻱔󺞗󺌛
󺆯󺃬󺞧󺫟󺝣󽴔󺆯󺃬󺞧󻰧󽴔󺃏󺈻󻪟󽴔󻱗󺝣󽴔󺞳󺹇󽴔󻕻󺱛󻰏󽴔󺞳󻰛󽴔󻺏󻮟󽴔󼧓󺴫󺋇󺱷󻪟󽴔󺧀󺴬󺣧󻪃󽴔󻱗󻞄󺞗󺌛?
󻫗󻫗󻰧󽴔󺆌󻭿󺢨󺋇󺱋󻃇󺹋󽴔󺅏󺅛󽴔󼌯󼩃󽴔󺗲󻰋󻞼󻞫󻫳
l
$70,320 󻱃󻖐󻱇󽴔󺆌󻭿󽴔󻪻󺋿󻪟󽴔󺞻󺲻󽴔󺋗󻨰󻰓󽴔󺋿󻱔󼨧󻞼󻞫󻫳
󻪿󺃓
$
, .00
󺆯󺃬󺞧󻰧󽴔󻛧󻱔󻮟󻰓󽴔󼤫󻞫󼨧󻞼󻞫󻫳
󻕻󼭛󽴔󻇃󻱴󽴔󻪿󺋗
SSP󺫟󺝣SSDI
󻪿󺋗
󻳏󼉤󻷋󻞬󼄓󺉛󽴔󺫟󺝣󽴔󻰏󼛃󽴔󺆓󻵛󻰧󽴔󻱃󻱟󽴔󺫟󺝣󽴔󻃿󺟈󺋗
󻱓󺋗󽴔󻃞󺫟󺝣󽴔󺋘󻪻
󻞳󻪔󽴔󻛧󺟈
󻇃󼪧󽴔󺫟󺝣󽴔󻅤󻳐󽴔󼨸󻰧󺋗
󻱴󻨯󽴔󺋘󻪻󽴔󺫟󺝣󽴔󺋋󺴫󻱟󽴔󻕿󻱻󽴔󻇃󻖐󺋗
󻃿󻭿󻱟󽴔󻉏󻩠󻌓󽴔󺫟󺝣󽴔󻱟󺘏󽴔󻩠󻯰󻌓
󻱴󼨨󺋗󻇃󻴿󺋗󽴔󺫟󺝣󽴔󺋿󼖏󽴔󻖬󼬫󻌓󺴫󽴔󻕻󻭸󺣫󽴔󻇃󻴿󺋗
󻱓󺟏󽴔󺫟󺝣󽴔󻳏󻱠󺉛󽴔󻕻󻭸󺶛󽴔󻙛󺦬
󼫓󺋗󺋿󼖏󽴔󻙛󺦬󽴔󺫟󺝣󽴔󻱟󻫐󻪔󽴔󻱃󻱄
󺼣󺧣󼍋󺼣󺧣󼏏󻱃󺦫65󻘇󽴔󻃇󺺛

󺼣󺧣󼍋󺼣󺧣󼏏󻱃󺦫65󻘇󽴔󻱃󻖐

󺃏󻵀󻰓󽴔󻯓󼨫󽴔󺼣󺧣󼍋A&B

󻪻󻘀󻫐󻨓󽴔󻃞󽴔󻪃󺹿󻱃󽴔󼧓󺴫󺋇󺱷WIC
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CalWORKs (TANF) 󺫟󺝣󽴔󻱇󺧣󻪇󽴔󻉏󻵀TANF
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󼪳󺦫󽴔󻝳󼖏󼞇Head Start󻙛󺦬󽴔󻛧󼫫󽴔󻱟󺅸󻱇󺧣󻪇󽴔󻉏󻵀󺺛
󼩃󺟈
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󻱇󺧣󻪇󽴔󻕻󻀃󺈼󽴔󻱋󻃧󽴔󻺏󻮟
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CalFresh󼥇󺦫󽴔󻝳󼖻󼧓
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󻳓󺈼󽴔󼨨󺈟󽴔󺋘󻞬󽴔󼧓󺴫󺋇󺱷NSLP
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󻳏󻙛󺦬󽴔󻷋󼖬󽴔󻪟󺗗󻺏󽴔󻺏󻮟󽴔󼧓󺴫󺋇󺱷LIHEAP
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󻇃󻴿󻳐󽴔󻇃󻱴󽴔󻙛󺦬SSI
󻗯󻪇 󻨓󺱧󽴔󺖃󻭸󻰓󽴔󻱌󺆯󽴔󻗫󺽔󼨧󻞼󻞫󻫳
󻇇󻱇󻰏󽴔󻱃󽴔󻞯󼅼󻗫󻪟󽴔󻳫󺇄󺣫󽴔󻳤󻇃󺃏󽴔󻕻󻞳󻱃󺼿󽴔󻳤󼬤󼨷󻰓󽴔󻹬󺽔󼨸󺞗󺞳󻇇󻱇󻰏󽴔󻭣󼅼󻱃󽴔󻱗󺝣󽴔󺆌󻭿CARE󻱟󺅸󽴔󻹬󺽔󻰓󽴔󻳫󺇄󼨯󽴔󺅒󻪟󽴔󺢨󻰧󼨸󺞗󺞳󻇇󻱇󻰏󽴔󺠣󽴔󻱃󻖐󽴔󼨯󻱇󻰓󽴔󻃪󻰓
󻱟󺅸󻱃󽴔󻪕󺝣󽴔󺆌󻭿30󻱋󽴔󻱃󺖃󻪟Southern California Gas Company (SoCalGas
®
)󻪟󽴔󼚄󻇃󼨯󽴔󺅒󻪟󽴔󺢨󻰧󼨸󺞗󺞳󻇇󻱇󻰏󽴔󼨯󻱇󻰓󽴔󻃪󻰓󽴔󻱟󺅸󻱃󽴔󺣧󻺏󽴔󻨙󺝣󺠿󺢓󽴔󼨯󻱇󻰓󽴔󻃪󺝣
󺆌󻭿󼨯󻱇󽴔󻃪󻰏󽴔󺋗󻨰󻰓󽴔󻃧󼬧󼩃󻩋󽴔󼨫󺞳󺝣󽴔󻳟󻰓󽴔󻱃󼩃󼨸󺞗󺞳󻇇󻱇󻰏SoCalGas󺃏󽴔󺞳󺹇󽴔󻯯󼟇󺹻󼞿󻕻󽴔󺫟󺝣󽴔󺋇󺦳󻰧󽴔󺟏󺹻󻱇󻱃󽴔󻇇󻱇󻰓󽴔󺋇󺦳󻰧󽴔󼧓󺴫󺋇󺱷󻪟󽴔󺧀󺴬󼨯󽴔󻛧󽴔󻱗󺢓󺴬
󻇇󻱇󻰧󽴔󻳤󻇃󺹋󽴔󺇄󻯯󼨯󽴔󻛧󽴔󻱗󺞳󺝣󽴔󻳟󻰓󽴔󻱃󼩃󼨸󺞗󺞳
󻗫󺽔 󺕯󻺫
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© 2020 Southern California Gas Company. 󺧀󺴬󽴔󻖐󼤫󺝣󽴔󼩃󺟈󽴔󻙛󻯯󻱟󻰧󽴔󻱻󻕿󻱔󺞗󺞳󼟟󺉛󽴔󻙛󻯯
CARE󼧓󺴫󺋇󺱷󻰏󽴔󼍧󺹻󼢻󺞗󻨓󽴔󻯯󼟇󺹻󼞿󽴔󺆯󺃬󺦳󻱃󽴔󻱟󺋗󻰓󽴔󻺏󻮟󼨧󺼿󽴔󼍧󺹻󼢻󺞗󻨓󽴔󺇄󺇄󽴔󻯯󼟇󺹻󼞿󽴔󻯓󻮟󼭛󻰧󽴔󼮓󻮟󼨧󻪟Southern California Gas Company󺃏
󻮃󻫐󼨧󺆯󽴔󻱗󻞄󺞗󺞳󼧓󺴫󺋇󺱷󽴔󺋿󺋗󻰏󽴔󺋿󺋗󻱃󽴔󻙛󻺓󺣯󽴔󺨛󺌛󻺏󽴔󻗯󼃸󻛫󻰋󺴫󽴔󻃿󻳤󺣸󺞗󺞳󻱃󽴔󼧓󺴫󺋇󺱷󻰏󽴔󻕻󻳓󽴔󼚄󻇃󽴔󻪕󻱃󽴔󻛧󻳤󺣧󺄿󺕧󽴔󻵔󺶛󺣯󽴔󻛧󽴔󻱗󻞄󺞗󺞳
N20E0082A 0420 Source Code: 9B
Form 6491 KO Meter: Residential
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CARE CARESoCalGas 20% SoCalGas 1) myaccount.socalgas.com socalgas.comcare (SoCalGas)

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Completed 28 May 2021

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