Thank you for applying for a utility grant from UESF.
We need you to take a picture of the
following items and upload them using the CHOOSE FILE link below.
- Photo ID of Applicant
- Social Security Cards for all household members 19 and older
- Proof of Income for all household members
- Most recent Utility Bill OR Termination (Credit Denial Letter)
Bill OR Shut Off Notice
By clicking submit, I agree to the following:
I, the applicant, do hereby certify that I have not, nor has any
member of my household applied for a Utility grant through UESF’s Utility Grant
Program within the past two years.
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