AGL Conference Reimbursement Request Form

The Atlanta Gas Light grant was awarded to SVdP Georgia to assist our clients with their natural gas bills from eligible resellers of Southern Company (AGL) Gas.

This is a reimbursement grant and you are required to submit a copy of the gas bill for reimbursement.

The reimbursement will be for assistance provided from December 1, 2021 forward, or until funds are exhausted. In order to qualify, the total household income must be at or below 200% of the Federal Poverty Level.

Poverty Guidelines

2022 Poverty guidelines for the 48 contiguous state and the District of Columbia.

Persons in family/household        Poverty guideline        200%
1                                                          $13,590                         $27,180
2                                                          $18,310                         $36,620
3                                                          $23,030                         $46,060
4                                                          $27,750                         $55,500
5                                                          $32,470                         $64,940
6                                                          $37,190                         $74,380

Note: (1) The maximum amount that can be reimbursed per household is $400. (2) Propane is not eligible for reimbursement under this grant.

Eligible Vendors

Constellation                     Kratos Gas & Power                     Walton EMC
Fuel Georgia                      SCANA Energy                              Natural Gas
Gas South                          Stream Energy                               XOOM Energy
Georgia Natural Gas        Town Square Energy                    Infinite Energy Inc.
True Natural Gas

If you have any questions, please contact Carolyn Weber at

"*" indicates required fields

Name of Person Submitting Request*
Please enter a number less than or equal to 400.
Note: Up to $400 per client is reimbursable.
MM slash DD slash YYYY
Use the check number recorded in your CMS entry.
Please verify that the client's income is below 200% of the Federal Poverty Limit*
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