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Utility Assistance Application Request

 

We can only accept requests for applications that are submitted Monday - Friday between 4:00 PM - 7:00 PM. If you submit this request outside of those hours you will not get an application. 

For all other requests please include ALL of the following information:

Do you live in Washington County, Oregon?
(MM/DD/YYYY)
$

Your application delivery preference

How would you prefer to receive your application?
Preferred language of application

We hope to be able to assist you with your energy needs. Please allow up to two business days to receive your application via email or 5 business days to receive it via mail. Check your spam folder as our emails might get routed there. Do not submit more than one request as all requests will be processed.