Discounted Rate Application

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Password must contain the following:
  • 12 Characters
  • 1 Uppercase letter
  • 1 Lowercase letter
  • 1 Number
  • 1 Special character

REQUIREMENTS

  • Residential low-income household
  • AND
  • Age 62 or older OR
  • Permanent disability OR
  • Active Military or Veteran

PROGRAM ASSISTANCE

  • 20% monthly discount on total bill - up to 200% of FPL or 80% AMI
  • 30% monthly discount on total bill - up to 150% of FPL

PROGRAM RESTRICTIONS

  • Not available for businesses, rentals, or other secondary residences
  • Does not reduce deposit amounts or fees
  • No previous fraudulent or tamper events

APPLICATION PROCESS

    • Complete Section 1 and Section 2 of the application
    • Submit application, along with all required documents, to Cowlitz PUD
    • Eligibility will be determined upon review of information submitted and in accordance with the Customer Services Policy

AUTO ENROLLMENT   

    • Customers who qualify for LIHEAP, Warm Neighbor, or other state or federal low-income programs may automatically qualify based on age, disability, or veteran status
    • Note: Approval will be within a year of when customer qualified for state/federal program

Discounted Rate
Contact Information
Phone
360.423.2210

Email

Website

Address
961 12th Avenue, Longview, WA 98632

Mailing Address
PO Box 3007, Longview, WA 96832
Please complete the information below and attach all required documents.
INCOMPLETE APPLICATIONS WILL REQUIRE ADDITIONAL FOLLOW UP AND MAY DELAY THE PROCESS.

Applicant Information










Income Information

*For all household members over 18







Most recent: Tax Return, SSI Income Statement, 2 Months Bank Statements.


State ID, Real ID, Passport, Work VISA, Employment Authorization Card

Parking Permit ID, SS Disability Award Letter, Physician's Cert Form

Active Military ID, Discharge Paperwork, DD214






Most recent: Tax Return, SSI Income Statement, 2 Months Bank Statements.
State issued ID, Real ID, Passport, Work VISA, Employment Authorization Card






Most recent: Tax Return, SSI Income Statement, 2 Months Bank Statements.
State issued ID, Real ID, Passport, Work VISA, Employment Authorization Card






Most recent: Tax Return, SSI Income Statement, 2 Months Bank Statements.
State issued ID, Real ID, Passport, Work VISA, Employment Authorization Card






Most recent: Tax Return, SSI Income Statement, 2 Months Bank Statements.
State issued ID, Real ID, Passport, Work VISA, Employment Authorization Card






Most recent: Tax Return, SSI Income Statement, 2 Months Bank Statements.
State issued ID, Real ID, Passport, Work VISA, Employment Authorization Card






Most recent: Tax Return, SSI Income Statement, 2 Months Bank Statements.
State issued ID, Real ID, Passport, Work VISA, Employment Authorization Card






Most recent: Tax Return, SSI Income Statement, 2 Months Bank Statements.
State issued ID, Real ID, Passport, Work VISA, Employment Authorization Card






Most recent: Tax Return, SSI Income Statement, 2 Months Bank Statements.
State issued ID, Real ID, Passport, Work VISA, Employment Authorization Card






Most recent: Tax Return, SSI Income Statement, 2 Months Bank Statements.
State issued ID, Real ID, Passport, Work VISA, Employment Authorization Card
Save my progress and resume later | Resume a previously saved form