Get Application Form - Epcor

Filling out the Application Form - Epcor online is a crucial step for eligible users to access the residential low-income assistance program. This guide provides clear and concise instructions to help users complete the form accurately and efficiently.

Follow the steps to fill out the Application Form - Epcor online

1. Click ‘Get Form’ button to obtain the application form and open it in the editor.
2. In Section 1, enter your Customer Account Number as it appears on your water bill. If applicable, provide the name of your Homeowner Association (HOA), apartment complex, or mobile home park.
3. Provide your full name as listed on your water bill or valid identification.
4. Indicate the number of persons in your household.
5. Fill in your home address, including city, state, and zip code.
6. If different from your home address, provide your mailing address, including city, state, and zip code.
7. List the daytime telephone number, including the area code.
8. If you are receiving low-income assistance from another utility for your electric or gas bill, indicate the name of that utility.
9. Make sure to submit a copy of your current picture ID, recent water bill, and proof of 30-day income (such as pay stubs or other income documentation) along with the application.
10. Review the income eligibility criteria: a single-person household must not exceed $17,505 annually, while a two-person household must not exceed $23,595. Note the requirement to inform EPCOR Water if you no longer qualify for assistance.
11. Sign the application where indicated and enter the date of submission.
12. Mail the completed application to WACOG at the provided address.

Complete your application online today to ensure you receive the assistance you need.