Utility Assistance Program

Light in Darkness Utility Relief Application

Apply for assistance with electric, gas, or water utility bills during times of financial hardship

Eligibility Requirements

Residency

Must reside in the United States (priority given to local/state community)

Financial Need

Temporary hardship such as job loss, medical emergency, or unexpected crisis

Utility Status

Active utility account with past-due bill or disconnection notice

One-Time Support

Limited to one award per household every 12 months

Required Documentation:

Valid government-issued ID
Proof of address (recent mail with name and address)
Current utility bill showing past-due amount
Proof of hardship (termination letter, medical bill, written explanation, etc.)

Documents can be emailed to [email protected] with your application reference

Assistance Amount: $75 - $300

Payment is made directly to the utility company. Applications reviewed within 3–7 business days.

Applicant Information

First Name *

Last Name *

Email Address *

Phone Number *

Street Address *

City *

State *

Zip Code *

Household Size (number of people) *

Utility Information

Utility Company Name *

Utility Type *

Utility Account Number *

Past Due Amount *

Disconnection Date (if applicable)

Financial Hardship Details

Type of Hardship *

Please explain your situation in detail *

Documentation Submission

How will you provide required documents? *

Upload Required Documents (Optional)

1. Valid Government-Issued ID

Accepted: PDF, JPG, PNG | Max 5MB

2. Proof of Address

Recent mail with name and address | Max 5MB

3. Current Utility Bill

Showing past-due amount | Max 5MB

4. Proof of Hardship

Termination letter, medical bill, or written explanation | Max 5MB

Alternative Submission Options:

📧 Email: Send documents to [email protected] with your application reference
📍 In Person: Drop off documents at our office
📮 Mail: Send via US Mail (contact us for address)

Required Documents Checklist:

☐ Valid government-issued ID
☐ Proof of address
☐ Current utility bill showing past-due amount
☐ Proof of hardship documentation

I certify that all information provided is true and accurate. I understand that payment will be made directly to the utility company and that my household is limited to one award every 12 months. I agree to provide all required documentation.

Your information is secure and confidential. Applications reviewed within 3-7 business days.

The Light in Darkness Utility Relief Program does not discriminate based on race, religion, age, gender identity, disability, marital status, or income source.