Apply for a Free Gas Card ($100, $150 or $200)

Fill out the free form below to apply for a gas card worth $100, $150 or $200. Eligible U.S. households can receive one card every 6 months. There is no fee, and we never ask for credit card or bank information.

Fields marked * are required. Your information is private and is used only to review your gas card application. See our privacy policy.

1. About you

First name *

Enter your first name.

Last name *

Enter your last name.

Email *

Enter a valid email address.

Phone *

We may call to confirm your application.

Enter a 10-digit phone number.

State *

Select your state.

ZIP code *

Enter a 5-digit ZIP code.

Are you 18 or older? *

Please answer this question.

2. Household and income

Household size *

Select your household size.

Monthly household income *

Before taxes, all household members.

Select an income range.

3. Your gas card request

Requested gas card amount *

$100Gas card

$150Gas card

$200Gas card

Final amount is based on household size and need.

Choose a gas card amount.

Main reason you need gas *

Select a reason.

Miles driven per week (estimate)

Have you received a gas card from us in the last 6 months? *

Eligible households can receive one card every 6 months.

Please answer this question.

Tell us briefly about your situation

Optional, but it helps us prioritize urgent needs.

I confirm the information is true and agree to be contacted about my application. I understand Free Gas Cards Foundation never charges fees. *

Please confirm to continue.

Application Questions

How long does the application take?

About 5 minutes online.

When will I hear back?

Most applications are reviewed within 5–10 business days. We contact you by phone or email.

What documents might I need?

A photo ID and proof of income or benefits, such as a SNAP or Medicaid letter, pay stub or SSI award letter. We never ask for bank passwords or card numbers.

Can I apply again?

Yes, eligible households can receive one gas card every 6 months.