Pre-Application

Application Process

Before You Start

Review the eligibility criteria to make sure you qualify. Complete a landlord-tenant agent authority agreement if you are a tenant.

Pre-Application

Submit the pre-application form below.

Income Verification

A representative will reach out to you within 2-4 weeks to complete any additional income verification as needed.

Enrollment

We will reach out once your application is confirmed. Once enrolled, your discount will applied to water volume charges back to the date you filled out the pre-application.

Questions?

If you have questions or need assistance completing the pre-application form, please contact our customer service team.

Customer Service

Pre-Application Form

Account Information

Account Number

Service Address

Applicant Name

I am the Account holder (property owner)Tenant

Applicant Date of Birth

Tenants

Tenants must have a landlord-tenant agent authority agreement on file (renter) with the utility in order to be eligible for this discount.

How many people live in your house?

Maximum Eligible Household Income

Size of Household	Total Household Income
1	up to $31,300
2	up to $42,300
3	up to $53,300
4	up to $64,300
5	up to $75,300
6	up to $86,300
7	up to $97,300
8	up to $108,300

Applicant Email

Applicant Phone

Certification

I certify that I meet all of the criteria below.

I live inside the city of Toledo

My home has an individual meter

I am named on the DPU contract OR I have a landlord-tenant agent authority agreement on file

My total household income for the past 12 months is below the maximum eligible income

Electronic Signature