Use these documents to plan your water bill customer assistance application. If you need in-person help with your application, find a help location near you.
| Name | Description | Released | Format |
|---|---|---|---|
| Medical Certification Form PDF | This form must be completed by a physician, nurse practitioner or physician’s assistant for customers who must maintain water service due to a medical emergency. | July 5, 2022 | |
| Application checklist PDF | Use this checklist to make sure you're ready to complete the application for water bill assistance. | January 28, 2022 | |
| Sample Application PDF | Use this as reference to help plan your application for water bill assistance before you start. | February 2, 2022 | |
| Water bill assistance flyer PDF | Print this flyer to share with community members or constituents | January 3, 2022 | |
| Water bill assistance flyer (French Creole) PDF | Print this flyer to share with community members or constituents. | June 8, 2022 | |
| Water bill assistance flyer (Haitian Creole) PDF | Print this flyer to share with community members or constituents | June 8, 2022 | |
| Water bill assistance flyer (Simplified Chinese) PDF | Print this flyer to share with community members or constituents | June 8, 2022 | |
| Water bill assistance flyer (Spanish) PDF | Print this flyer to share with community members or constituents. | June 8, 2022 | |
| Water bill assistance flyer (Traditional Chinese) PDF | Print this flyer to share with community members or constituents | June 8, 2022 | |
| Water bill assistance flyer (Vietnamese) PDF | Print this flyer to share with community members or constituents | June 8, 2022 | |
| Folleto: Ayuda con su factura del agua PDF | Imprima este folleto sobre ayudas con la factura del agua, y compártala con vecinos y miembros de su comunidad | August 12, 2021 | |
| TAP Debt Forgiveness fact sheet PDF | Learn how you can clear your water bill debt when you are enrolled in the Tiered Assistance Program. | July 28, 2022 | |
| TAP Debt Forgiveness fact sheet (SPANISH) PDF | Learn how you can clear your water bill debt when you are enrolled in the Tiered Assistance Program. | September 28, 2021 | |
| Water Customer Assistance Programs Eligibility Guidelines PDF | These are the guidelines used to determine and enroll you in the program that provides the lowest bill. | January 28, 2022 | |
| Water Customer Assistance Programs Eligibility Guidelines (Spanish) PDF | Learn how to tell if you are eligible for a Water Customer Assistance Program. | January 28, 2022 |