tvwd 2 ad : Utility Assistance & Energy Conservation : Programs : Community Action

Tualatin Valley Water District - Assistance and Discount program

If you believe you are eligible for this program please fill out the form below and attach any necessary documents.

Please select all you would like to apply for:

If you have already received water assistance in the last year, you should only select the discount program.

Both the water assistance and bill discount programs.
Water assistance program only
Bill discount program only.

Name as it appears on your bill

Address as it appears on your bill

City

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Email Address

Zip Code

Number of people that live in your household

Please provide name and birthdates for all living in home.

I am a customer of Tualatin Valley Water District

Account Number

Phone Number

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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Click or drag here to add files

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