Water Bill Assistance

Eligibility Requirements

In order to qualify for assistance with your PA American Water Bill:

  1. You must have received a termination notice or have already had your water shut off.
  2. All monthly income for anyone 18 or older in the household must not exceed 200% of the Federal Poverty Income Guidelines.
  3. You must have paid at least $50.00 towards your bill in the last 90 days.
  4. The utility account must be for a single-family residential household.
  5. The name on the utility account must be an adult who lives in the household.

If you do not meet these criteria, but still are in need of assistance, please call 570-507-6693.

To set an appointment to drop off documents at Jackson Terrace call 570-348-4429

Dollar Energy Application

Please fill out the information completely.
Name

Requirements

In order to qualify for Dollar Energy Assistance, you must meet the following criteria. If you do not meet the below criteria but are still seeking assistance, please call 570-507-6693.
Have you received a termination notice for your water?(Required)
Has your water been shut off?(Required)
Is the balance to continue service $500.00 or less?(Required)
Please reference page three of your bill. Do you pay for wastewater?(Required)
If so, you may be eligible for assistance on both water and wastewater amounts.
Is your income at or below 200% of the Federal Poverty Income Guidelines?(Required)
If not, you will not be eligible. (See https://www.needymeds.org/poverty-guidelines-percents for an income chart).
Have you made a payment of at least $50 dollars on your bill in the last 90 days?(Required)
If not, you will not be eligible.
Is the utility account for a single family residential houeshold?(Required)
If not, you will not be eligible.
Is the utility account in the name of an adult living in the household??(Required)
If not, you will not be eligible.

Household Information

This section MUST be filled out for every member living in the household. Please list all additional member's information in the boxes below

Head of Household

Name
MM slash DD slash YYYY
Can this number receive text messages?(Required)
Address
Disabled?(Required)
Citizen?(Required)
Veteran?(Required)
List each additional household member in this box including Name, Date of Birth, Monthly Income, Income Source(s), Ethnicity, Gender, Disabled?, Citizen?, Veteran?
In order to be considered for Dollar Energy Assistance, the below documents must be emailed to water@fotp-ihm.org. Please include the Head of Household name in the subject of the email.
Please click the box of the documents you have emailed: