Utility Assistance: Frequently Asked Questions

Find additional forms, instructions, and resources that may be needed to complete your Utility Assistance application.

Instructions & Resources

  • Unemployment Benefits or Oregon Paid Leave - Instructions for obtaining five weeks of benefit history.

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Additional Forms

  • Signature Page - If requested by your case worker or if your application was submitted without a signature.

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  • Declaration of Household Income (DHI) - For households that need to report zero income or income in cash. If more than 2 household members

    need the form, use multiple forms.

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  • Self - Employment Worksheet (SEWS) - For applicants who are self-employed. If more than 2 household members need the form, use multiple forms.

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How to Submit Documents

Please submit completed forms and supporting documents to: uadocuments@caowash.org

When submitting documents, please include:

  • Name of main applicant

  • Reference # (if available)

  • Phone Number

Submitting complete and legible documentation will help us process your application as quickly as possible.