• Year Two: The District 8 Senior Support Fund - Utility Relief Enrollment Form

    Welcome to the official enrollment form for Year Two of the District 8 Senior Support Fund. Year Two of the program focuses exclusively on utility relief for eligible District 8 seniors. This program is sponsored by Prince George’s County Council Member Edward P. Burroughs III. It is funded through the MGM Local Impact Grant, ensuring that resources benefit District 8 residents living in the communities surrounding the MGM National Harbor. Submitting this form begins the enrollment process. Assistance is not guaranteed and is subject to eligibility verification and available funding.
  • Eligibility Review – Required to Proceed

  • To ensure that resources are directed to the residents this program was created to serve, we must first confirm your eligibility. This program is only available to individuals who:

    • Live within Prince George’s County District 8
    • Are 65 years of age or older

    These requirements are mandatory. If you do not meet both, you will not be able to proceed with enrollment at this time. Thank you for your understanding.

  • What is your date of birth?*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Are you 65 years of age or older?*
  • Please confirm you live within District 8 by verifying your address here: 

  • Do you live in District 8? Verify your address at the link above.*
  • Have you received support from the District 8 Senior Support Fund Office in the past? (PEPCO, Lawn Care services, Mortgage support)*
  • Eligibility Review – Required to Proceed (Continued)

  • APPLICANT INFORMATION

    Please provide your basic contact information so our team can follow up if additional documentation is needed.
  • IMPORTANT PROGRAM NOTICE & TIMELINE

  • Please review the following carefully before submitting your application.

    • This form represents Step One of the enrollment process.
    • Submitting this form does not guarantee assistance.
    • A representative from the District 8 Senior Support Fund team will follow up within 45 days to verify eligibility and collect documentation.
    • All approved payments will be made directly to your utility provider.
    • Incomplete or inaccurate information may delay processing.
  • I understand the information above and wish to proceed.*
  • Document Upload

    Upload a bill/statement that includes your name, account number, and address for the specified utility that you are seeking support for (ie. electric, water, gas, OR oil). If you are unable to upload, please bring your documents to the office at 7800 Allentown Road within 9:00 am - 3:00 pm, Monday through Friday.
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  • SUBMISSION CONFIRMATION

    Thank you for completing the Year Two enrollment form. If you are determined eligible, a member of the Senior Support Team team will contact you to complete verification and documentation. Please do not submit multiple applications, as this may delay processing. Please hit "Continue" to submit this form.
  • District 8 Senior Support Fund – Eligibility Determination

  • We appreciate your interest in the program and your time in completing the questionnaire. However, after reviewing your information, we regret to inform you that you do not currently meet the eligibility requirements for this program.

    All participants must meet the following criteria:

    • Be 65 years of age or older, and
    • Reside in Prince George’s County District 8
    • Agree to Program Notice and Timeline

    Unfortunately, based on your responses, you do not qualify due to one of the following:

    • You are under the age of 65, and/or
    • You do not live within the boundaries of District 8, and/or
    • You do not agree with the Program Notice and Timeline

    If you do not currently qualify due to age, you are welcome to reapply once you turn 65. Thank you again for your interest.

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