CARES Act Utilities Cost Subsidization Program Application

ONLY ONE ACCOUNT PER APPLICATION: Please submit separate applications for business and residential accounts. To apply for a CARES Act utilities costs subsidy, please answer the following eligibility questions by checking the box if the answer is YES:
(If you are unable to check all the applicable boxes above and certify to your answers by signature below, you are not eligible for a subsidy.)
(If you are unable to check all the applicable boxes above and certify to your answers by signature below, you are not eligible for a subsidy.)
(If you do not know your account number, attach an image of your utility bill)
Click or drag a file to this area to upload.

Download a PDF version of this application form here: