Skip to main content Skip to site navigation

Apply for EMWD Assist (TEST SITE)

Post - no search

EMWD Assist provides low-income customers who have a signed medical certificate from their primary care provider with extended payment amortization options to help them avoid discontinuation of residential water service.

Required Documents

Please gather the following items BEFORE you proceed with the application below.

  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 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
  • 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.

Apply for EMWD Assist

Please complete and submit the application below.

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.

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.”

Your household does not qualify for EMWD Assist.

To qualify for EMWD Assist, you must be able to provide 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.”

For example, a utility bill or other household bill which notates enrollment and/or benefit receipt, or a letter from the selected agency.

Current Federal Poverty Guideline are available at https://aspe.hhs.gov/poverty-guidelines.

Contact Information
982796644494018 » If you have a visual disability, please type the numbers two one three three into the box. Your submission will be promptly reviewed by a validation service and sent to the site administrators.
By proving you are not a machine, you help us prevent spam and keep the site secure.

Commands