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This is a temporary program that has been established to provide financial relief by absorbing utility customers past due amounts (greater than 30 days) for recipients impacted by the COVID-19 outbreak. Applications can be submitted by an Eligible Residential Customer or Eligible Small Business (50 or fewer employees) impacted financially by this national, state and local emergency.
Driver’s license, passport, or other photo ID
If you need more than 3 upload fields, please email your documentation directly to firstname.lastname@example.org
Complete only if you are applying as a Single-Family Resident
1. Pay stubs for the past three months for both you and your spouse (if applicable) 2. Other documentation showing income from numbers 3 & 4 above
I swear under the penalty of perjury of the laws of the State of Washington, that I understand the questions of this application and that all of the statements on this application are true. Any false statement, including omission, of information on this form is subject to a gross misdemeanor.
Although city offices remain closed per the Governor’s Safe Start plan, staff is available to assist customers with applications by phone or online. Please contact the Utilities Staff at 360-835-8501.
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