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THIS APPLICATION IS CURRENTLY UNDER MAINTENANCE
YOU MAY BE REQUIRED TO COMPLETE A NEW APPLICATION AFTER MAINTENANCE
CASA GRANDE CARES FUND
utility assistance application
IMPORTANT:
CHECK BELOW TO MAKE SURE EVERY REQUIRED
INFORMATION ITS AT-HAND BEFORE
CONTINUE WITH THE APPLICATION.
INCOMPLETE APPLICATIONS
WILL NOT BE CONSIDERED.
READ CAREFULLY:
The Casa Grande CARES fund will be used to respond to the coronavirus pandemic (COVID-19) among individuals and families who have been impacted by it. Casa Grande residents demonstrating eligibility may receive rental/mortgage and utility service assistance.
Rental/Mortgage and utility payments will be made directly to the Landlord or provider. Funds may not be use for connections or deposits.
Households eligible to receive the
one-time financial assistance
must be able to document that their current financial hardship is due to COVID-19 and have a total household income at/below 100% of Area Median Income (AMI) during the month for which they are seeking assistance (March 2020 - Present).
Approve eligible households will receive assistance up to $500 for utility services. Eligible households may also receive utility assistance for electrical, natural gas/propane, water, sewer, and trash utilities. Utility payments will be made directly to the utility company. Funds may not be utilized for service connection or deposits.
Check boxes(Required)
*
Reduction or loss of income proof(paycheck, letter, etc.)
Additional expenses incurred as a result of COVID-19 (medical expenses, child care, etc.)
Copy of a current executed lease or rent agreement verifying that the person requesting the assistance is named on the lease
Copy of a valid driver’s license or other form of identification, such as utility billing statements showing the individual lives at the address to be assisted that is within the incorporated city limits of Casa Grande
Documentation regarding economic crisis/impact (i.e. notice from employer regarding closing business or reduction hours, furlough notice, etc.)
Proof of gross income prior to and current pandemic crisis (for comparison)
Utility Bill showing the month in question
This is to help you gather all information before you move ahead with the application.
*
Indicates required field
Applicant's Name:
*
First
Last
Please type your official name. Specially if applying for utility assistance
Email
*
Address
*
City
*
Zip Code
*
Contact Phone Number
*
The number you would like us to call you.
#Members in your household
*
1-2
3-5
6-8
Choose
*
Female
Male
Other
Your Age
*
Age of the applicant
Employment Status(Head of the household)
*
Employed
Unemployed
Retired
This is only for the head of the household or individual requesting support.
Education Attainment
*
Less than High School
High School Diploma or GED
Trade School or Certifications
Associate Degree
Bachelor Degree
Other
We ask to identify other programs you can qualify for.
Choose type of assistance needed
*
Electricity
Water
Natural Gas/Propane
Sewer
Trash
Name of Utility Company
*
Account Number
*
If you are qualified, we will use the account number to directly call the utility company and pay your bill.
Utility Company Phone Number:
*
Utility company phone number
Amount Requested
*
Have you applied to another organization?
*
Yes
No
If Yes, Please provide the name of organization(United Way will verify information either way).
*
Amount of Annual Household Income(head of the household)("0" if none)
*
Combined household income. Everyone in the household
Upload the most current reduction or loss of income proof
*
Max file size: 20MB
Upload Additional expenses incurred as a result of COVID-19 (medical expenses, child care, etc.)
*
Max file size: 20MB
Upload Copy of a current executed lease or rent agreement verifying that the person requesting the assistance is named on the lease
*
Max file size: 20MB
Upload Copy of a valid driver’s license or other form of identification, such as utility billing statements showing the individual lives at the address to be assisted that is within the incorporated city limits of Casa Grande
*
Max file size: 20MB
Upload Documentation regarding economic crisis/impact (i.e. notice from employer regarding closing business or reduction hours, furlough notice, etc.)
*
Max file size: 20MB
Upload Proof of gross income prior to and current pandemic crisis (for comparison)
*
Max file size: 20MB
Upload Utility Bill showing the month in question
*
Max file size: 20MB
Select One- Optional
*
White
Hispanic/Latino
Black/African American
American Indian
Other/Multi-Racial
Why are you requesting assistance?(Share your story)
*
Share your current situation and why United Way support is important.
Special thanks to the following community partners for its generous donation:
Thank you for applying to United Way of Pinal County's administered fund.
Don't forget to click submit.
Submit
Home
Programs
DONATE
Contact us
Apply for Help
Rental, Mortgage, and Utility Assistance
GED Scholarship Application
Bicycle Assistance Application
VITA Coming Soon!
