COVID-19 Updates from Public Health
COVID-19 Limited Operations, Procedures and Closures

Community Action Agency

Utility Intake Questions

Does this person live with you currently?
Do you have a shut-off notice?
Have you applied for utility assistance from DHHS since October 1?
Have you received utility assistance from DHHS since October 1?
Do you have a denial letter from DHHS?

Utility Information:

Additional Notes: