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How Can We Help?

Apply for EMWD Assist

EMWD Assist provides low income customers who have a signed medical certification and proof of income/enrollment in an approved program with extended payment amortization options to help them avoid discontinuation of residential water service.

Please note: EMWD Assist is not a program where customers would be billed for water at a discounted rate.

Required Documents

Please gather the following items BEFORE you proceed with the application below.
BOTH items are required to qualify.

  1. Certification of a primary care provider that “discontinuation of residential water service will be life threatening to, or pose a serious threat to the health and safety of, a resident of the premises where residential water service is provided.”


  2. Proof of income/enrollment in any of the following programs (i.e., Utility Bill notating enrollment, letter from the associated agency, etc.).
  • Bureau of Indian Affairs General Assistance
  • CalFresh (Food Stamps)
  • CalWORKs (TANF)[1] or Tribal TANF
  • CARE Program through SCE or SoCalGas
  • Head Start Income Eligible – Tribal Only
  • Low Income Home Energy Assistance Program (LIHEAP)
  • Medi-Cal/Medicaid
  • Medi-Cal for Families A & B
  • National School Lunch Program (NSLP)
  • Supplemental Security Income (SSI)
  • Women, Infants & Children (WIC)

If you are unable to provide proof of enrollment in any of these above programs, you may declare that your total annual household income is less than 200 percent of the federal poverty level, as defined in the Federal Poverty Guidelines.

EMWD Assist Application

Please complete and submit the online application form below. If you prefer to print the form and fill it out, please download the

Once the application has been submitted, you will receive a confirmation email with a copy of your application. Within 5 business days, EMWD’s Customer Service team will follow up with you either by phone or email regarding the status of your request. 


Online Form - EMWD-TEST