tvwd pause form : Utility Assistance & Energy Conservation : Programs : Community Action

TVWD Water Assistance

If you believe you are eligible for TVWD payment assistance or the TVWD discount program please fill out the form below and attach any necessary documents.

Name as it appears on your bill

Address as it appears on your bill

City

Email Address

Zip Code

Number of people that live in your household

Please provide FULL names and birthdates for all living in home.

I am a customer of Tualatin Valley Water District

Yes, and would like to apply for both assistance.
Yes, But I only need the discount
Yes, but I onlyneed the payment help

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Account Number

Phone Number

Are you fleeing Domestic Violence and need your address kept confidential?

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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Community Action is required by law to maintain the privacy of our participants’ protected personal information. For more information about our privacy practices:

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