applied for a Utility grant through UESF’s Utility Grant Program within the past two years.
I, the applicant, do hereby certify that I have not, nor has any member of my household
· I, the applicant, give UESF authorization to request information from and/or speak with any representatives from my utility companies (if receiving utility assistance), with my landlord, property management company, or mortgage lender (if receiving housing assistance), and/or with any of my social service providers or medical professionals if input from these parties is necessary for the processing of my application for assistance.
· I understand that the information supplied in this application will be reviewed by individuals involved in the approval of financial assistance at UESF.
· I understand that UESF can release information on my application for the purpose of reporting to key funders and stakeholders who support the provision of utility and housing assistance to low income families.
· By pressing submit, I acknowledge and permit representatives of UESF to verify all information. Any intentional misrepresentation of information contained in this application will result in forfeiting my grant application(s) now and in the future.
Submitting this application does not guarantee approval for the UESF utility grant.
Thank You - UESF