Utility Assistance Google Form

If you find yourself behind on your utility bills, and fall within income guidelines, local assistance programs may be able to help.

Please complete the following form to apply online through Project Share (for assistance with Power, Natural Gas, and select other resources). Be sure to read the description for each question.

This is an ONLINE process - Please check your email for further instructions.

If you have any questions, feel free to email projectshare.nampa@usw.salvationarmy.org.

HAVE A BLESSED DAY!

This application is for Power OR Natural Gas Only. If you need assistance with your City of Nampa Water, Sewer, Trash bill please apply at the following link: Nampa Shares and Cares - City of Nampa: Water, Sewer, Trash

NOTICE: If all required documentation is not received within 3 business days of application submission or request for additional documentation, your application will be moved to the bottom of the list. Please submit the required information at the time of applying for the quickest review time.

ADDITIONALLY: Please check your "spam" or "junk" email folders before contacting our office. This is an online process and we will communicate with you using the email address provided on this form.

Email*

example@example.com

Applicant's Full Name*

Please enter the full name as it APPEARS ON THE BILL

Please upload your Driver's License or Identification Card*

Active Account with Idaho Power*

YesNoN/A

Applicant's Date of Birth*

MM-DD-YYYY

Applicant's Gender*

Applicant's Gender

MaleFemaleOther or Applicant Prefers Not to Answer

Are you over age 62?*

Applicant Address*

The bill must be for the current address and be in one of the following areas to qualify for energy assistance. The Salvation Army Nampa Corps can assist residents living in Nampa, Marsing, Melba, and Murphy. Please remember to include your city and zip code. If you live outside of our service area, call (208) 365-3116 to find a location near you.

Applicant Phone Number *

Income*

Proof of Income (at least 30 days)*

Acceptable forms of income verification include, but are not limited to the following. Please submit at least one of the options below, and all the documents that pertain to the income of the entire household:

Paystubs (most recent 30 days)
Health & Welfare benefit letter
Social Security benefit letter
SSI - Supplemental Security Income benefit letter (retirement, disability, survivors, and supplemental)
Worker's Compensation
Pension
Unemployment benefit letter
Bank statements (most recent 30 days - all pages, including blank pages)
Any document reflecting additional income for the household.

Other Resources*

List any other agencies you have already talked to and what the outcome was.

Which utility is the bill for?*

Idaho PowerIntermountain GasOther

Please upload the front and back of all pages of your bill.*

Account Number*

For Idaho Power and Intermountain Gas ONLY, please enter your account number.

Service Agreement Number*

For Idaho Power, the Service Agreement number is on the backside of your bill. Intermountain Gas may not include a Service Agreement number, enter N/A in this field.

Is the bill for the current address?*

YesNo

Is the bill in your name?*

YesNo

If the bill is NOT in your name, please upload the ID of the person whose name is on the bill.

How many OVER the age of 18 live in your household?*

Project Share requires a current DISCONNECT notice! If you do not have a current disconnect notice, you do not qualify for Project Share at this time.

Please provide proof of pending disconnect.

How many UNDER the age of 18 live in your household?*

Food Stamps: Do you currently receive Food Stamps? If yes, be sure to have a copy of the CURRENT Health & Welfare letter listing your food benefits. We ask this question because the guidelines for Food Stamps are the same for energy assistance.*

YesNo

Gross Income*

Please enter the MONTHLY gross income (income before taxes) for the ENTIRE household for the PREVIOUS month. For example, Employment, SSI (Supplemental Security Income), Social Security (retirement, disability, survivors, and supplemental benefits), Workers Compensation, Pension, Unemployment payments, TAFI and TANF assistance.

Past Due Amount*

Please enter the past due amount of your bill. The bill must be past due for Project Share to assist.

Due Date*

Please enter the date that your bill is due.

Nonpayment due to?*

Please explain why you are unable to pay the bill at this time.

Good Faith Effort*

Please list what efforts you have made to make a payment on your bill. For example, reaching out the utility company about payment arrangements or have recently made a partial payment?

Regarding Utility Assistance: PLEASE NOTE: Upon qualification, payment can take 4-6 weeks to process. You may even receive another bill that does not reflect the pending payment. The bill will reflect payment ONLY when funds are posted.*

I understand

Please list ALL additional people living in your household, including their full name and date of birth. (This information is REQUIRED to process your application.)*

Example: Johnny Appleseed 01/01/2001, Janice Appleseed, 02/02/2002, etc. Please do not forget dates of birth!

What's next? Please be aware there may be a long waitlist for assistance. We are processing applications as quickly as possible. You will receive instructions via the email address included on your online application. If you have submitted an application and do not receive an email within 3 business days, please check your "spam" and "junk" folders before contacting our office. THANK YOU.*

I understand

May we update you with updates about resources and programs? Your email address and phone number will not be shared with any other party.*

YesNo

Electronic Signature: Please acknowledge your consent by entering your name in the space provided. Doing so certifies the above statements are true and correct to the best of your knowledge. A false statement may disqualify you for utility benefits. THANK YOU. *

The Salvation Army of Nampa Utility Assistance Application for the Project Share program - Power and Natural Gas