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. | August 25, 2022 | |
| Sample Application PDF | Use this as reference to help plan your application for water bill assistance before you start. | May 8, 2023 | |
| Application checklist PDF | Use this checklist to make sure you're ready to complete the application for water bill assistance. | May 8, 2023 | |
| Water Customer Assistance Fact Sheet PDF | Takeaway sheet with details about water customer assistance including TAP and Senior Citizen Discount | May 9, 2023 | |
| Formulario de certificación médica PDF | Este formulario debe ser completado por un médico, enfermero practicante o asistente médico para clientes que deben mantener el servicio de acueductos debido a una emergencia médica. | January 9, 2023 | |
| Water Customer Assistance Programs Eligibility Guidelines PDF | Use this checklist to make sure you're ready to complete the application for water bill assistance. | March 21, 2023 | |
| Directrices de elegibilidad de los programas de ayuda al usuario del agua PDF | Infórmese como saber si es apto para participar del programa de ayuda al usuario del agua. | May 10, 2023 | |
| Water bill assistance flyer PDF | Print this flyer to share with community members or constituents | January 3, 2022 | |
| Lista de comprobación de la solicitud PDF | Use esta lista de verificación para asegurarse de que está listo para completar la solicitud de asistencia para la factura del agua. | May 10, 2023 | |
| Water bill assistance flyer (French Creole) PDF | Print this flyer to share with community members or constituents. | June 8, 2022 | |
| Depliyan èd pou bòdwo dlo PDF | Enprime deplyan sa a pou w pataje avèk manm kominote a oswa elektè yo | June 8, 2022 | |
| 水费账单援助计划宣传单 PDF | 打印此宣传单，并与社区成员或选民分享 | June 8, 2022 | |
| Folleto de ayuda con la factura del agua PDF | Imprima este folleto para compartir con los miembros de la comunidad o los electores | June 8, 2022 | |
| 水費賬單援助計劃宣傳單 PDF | 打印此宣傳單，並與社區成員或選民分享 | June 8, 2022 | |
| Tờ rơi về hỗ trợ hóa đơn tiền nước PDF | In tờ rơi này để chia sẻ với các thành viên hoặc cử tri trong cộng đồng | 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 | |
| Hoja de información sobre la condonación de deuda TAP PDF | Infórmese cómo puede pagar su factura del agua cuando está inscripto en el Programa de Asistencia por Niveles, TAP. | September 27, 2022 |