COVID-19 Utility Assistance Pre-Screening Questionnaire

Eligibility screener

Answer the questions on this COVID-19 Utility Assistance pre-screening questionnaire and we’ll start the process of determining your eligibility.

ONLY ONE PERSON PER HOUSEHOLD may apply for these funds. Households with multiple applications will have their assistance delayed or denied.

Need help filling out your application? One of our community partners may be able to help!