Water + Garbage Application : Utility Assistance & Energy Conservation : Programs : Community Action

Utility Assistance Request

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Name as it appears on your bill

Address as it appears on your bill

City, state and Zip

Mailing address if different

Please provide full name and birthdates for all living in home.

Email Address

Phone Number

Select water provider

Water Account number?

Water Customer Number- (Hillsboro Only)

Your customer number can be found on the top right corner of the front page of your utility bill

Residents of Beaverton, Hillsboro, and unincorporated areas of Washington County may be qualified for discounted garbage bills. Complete this section to apply.

Select Garbage Provider

Garbage account number

Hillsboro High Speed Internet Discount

I live in Hillsboro and would like to apply

Are you fleeing Domestic Violence?

Yes, i am fleeing domestic violence

Please upload any documents that show you are currently enrolled in one of the programs above or income verification for everyone in your household for the last 60 days showing you meet income guidelines

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