WAFF Applicant Form

WAFF Application Form

Welcome! You can apply for gas heating bill assistance from January through May each year. Are you looking for bill assistance with electric or other forms of home heating? Click here for a list of resources.
I. Eligibility Requirements

Before we get started, let's make sure you have everything you need to successfully apply for WAFF. We determine this by taking the amount of your past-due bill and subtracting other aid you have received. If the adjusted amount is less than $500, you may be eligible to have WAFF pay off the rest of your bill.
Are you the utility account owner?*

YesNo
You must be the utility account owner to apply for WAFF assistance.
Do you have a warning or disconnection notice from your utility provider?*

YesNo
You must have a utility warning or disconnection to apply for WAFF assistance. Please upload a copy of the document to continue.
Please upload a copy of the utility warning or disconnection notice.*

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Have you applied for LIHEAP, MEAP, or EAP federal asssistance?*

YesNo
You must apply for LIHEAP, MEAP, or EAP assistance before applying for WAFF.
Please upload official documentation showing you were approved or denied for LIHEAP, MEAP, or VEAP assistance.*

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How much did you receive from this assistance?*
How much is your past-due gas bill?*
If this amount is less than $500, proceed with your WAFF application.

II. Utility Bill Information

Please tell us about your gas utility provider. Are you looking for assistance with electric or other heating sources? Click here.
Have you received a shutoff or termination notice?*

YesNo
You must have a shutoff notice to apply for WAFF. Please go back to Section I, Eligibility Requirements.
Utility Provider Name*
Please upload a copy of the shutoff notice.*

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Please upload a copy your most recent utility bill.*

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Account Number*
Amount Past Due*
Please proceed with your WAFF application.

V. If You Rent Your Home...

Please tell us about your living arrangements.
Do you rent your home?*

YesNo
Landlord Name*
Landlord Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Landlord Phone
Landlord Email
Have you received an eviction notice?*

YesNo
If yes, please list date of eviction notice.*
If yes, please upload a copy of eviction notice.*

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If you have an eviction notice, please upload a copy of your lease agreement.*

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X. Applicant's E-Signature
By signing the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
Signature

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The Washington Area Fuel Fund (WAFF) does not discriminate in determining eligibility based on race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
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WAFF Application Form