PROJECT REACH - ENERGY ASSISTANCE PROGRAM

PROJECT REACH - ENERGY ASSISTANCE PROGRAM
APPLICATION
Please fax the completed form along with the approved client list to United Way at (702) 734-8504, Attn: John Miller.
Remember to include a copy of your applicant’s NV driver license or NV State ID and the utility bill in need of payment.
Name:
Social Security Number:
NV Driver License or NV State ID:
Date of Birth:
Address:
City:
State:
Zip
Monthly Expenses:
Amount Requested:
Mortgage/Rent:_______________
Other:______________________
Total # of Persons in Home:
Phone:
Medical: ___________________
Amount $______________
Pharmacy:__________________
Bill Attached:___________
Name(s) and age(s) of relative(s) residing with you:
Including self, is anyone in household:
( ) age 62 or over ( )medically fragile* ( ) other:_________________________________________
*Requires acceptance into the Nevada Power GreenCross program. GreenCross application required: __________
Type of Dwelling: (check only one)
H=House ( )
M=Mobile Home( )
S=Studio( ) A=Apartment ( ) O=Other ( )
Would you be interested in weatherization or conservation information
Own or Rent (circle)
Yes _____
List Income:
Social Security:______________
No ________
Retirement:________________ Employment:____________________
Other:_______________________
This box to be used to document special circumstances:
I certify that the applicant qualifies for assistance based on income guidelines, household and medical expenses and/or documented
need. The applicant has been informed that this assistance is available one time in a 12-month period.
Applicant Signature: _____________________________________________________________________________
Agency Representative:_______________________________________
Date:________________________
Title:______________________________________________________
Phone:_______________________
Organization:___________________________________________________________________________________
Exhibit I-2 Senior Citizens and Veterans
Document consists of 5 pages.
Entire Exhibit Provided.
Meeting Date: 12-11-07
Project REACH Program Criteria & Guidelines
Project REACH is an annual energy assistance program designed to help Nevada Power customers who,
through uncontrollable or unplanned hardships, are unable to pay for their energy needs. The program is funded
by Nevada Power and administered through United Way of Southern Nevada.
Energy Emergency
Defined as: "An uncontrollable or unplanned change in their ability to pay for their energy needs."
The maximum amount an applicant can receive for assistance is $500.
The utility bill must be at least 14 days past due for funds to be issued.
Applicants are responsible for deposits, returned check fees and charges, meter damage charges,
fraudulent usage fees, and final bills.
Eligibility
The applicant is eligible if they are a senior citizen (age 62 and over), are disabled or have a medical
condition deemed life threatening (as determined by a licensed doctor), Reserve or National Guard
member.
The maximum annual gross income of the household during the year must be within Project REACH
guidelines.
Applicants may apply for Project REACH assistance only once during a twelve 12-month period.
Project REACH assistance is for residential customers only. It does not provide assistance for business
or commercial customers.
Project REACH assistance cannot be used to restore service if it has been terminated due to nonpayment or because of a default in payment arrangements.
The Nevada Power bill must be in the applicant’s name and the applicant must reside at the address for
which assistance is needed. Funds will not be issued where the account is in the name of the property
landlord or in the name of a minor child.
Explanation must be provided if the bill is in the name of someone other than the applicant.
Application Process
Applicant must complete an application and provide a copy of their Nevada Power bill when requesting
Project REACH assistance.
If the applicant is medically fragile, the partner agency must ask the United Way Program Manager to
arrange for registration in Nevada Power’s GreenCross program.
Customers must apply directly at one of the United Way partner agencies to receive assistance.
The United Way partner agency, along with a designated Nevada Power representative, will determine
how much, if any, assistance will be administered to the applicant.
Applicants are responsible for payment of any amount that exceeds the Project REACH award. If an
applicant receives assistance and has an unpaid balance remaining, they must contact Nevada Power
immediately at 367-5555 to make payment arrangements. Before Project REACH assistance can be
applied to their account, the applicant must bring in a receipt as proof of payment toward their unpaid
balance.
Financial assistance is paid directly to Nevada Power for credit to the applicant’s account.
10-Day or 48 Hour Notice
The United Way partner agency will immediately notify Nevada Power of the award being made in order
to avoid termination of service (particularly in cases where the applicants have received a 48-hour notice).
Project REACH cannot pay on closed accounts or transferred accounts.
Good Payment History
Consideration will be given first to applicants with an "emergency" need for assistance. A reoccurring
poor payment history (such as multiple termination of service notices and service disconnections)
suggests that the payment problems may continue whether or not Project REACH funds are granted.
2
Verification of Income
Applicant must provide verifiable proof of income or pending income.
"Cash Only" applicants must provide one of the following:
• Letter from the employer on company letterhead.
• Current bank statement showing recent deposit activity.
• Current income tax records.
Monthly food stamps allotment cannot be included as part of household income.
Student loans cannot be included as part of household income.
Reserve and National Guard Members
Application must meet current Project REACH income guidelines.
Application must show Reserve or National Guard identification.
Applicant must show activation papers.
The maximum annual gross income must not exceed the following:
Household Size
1-2
3
4
5
6
Each additional
Maximum Annual
Gross Income
$ 29,300
$ 34,400
$ 41,500
$ 48,600
$ 55,700
$ 7,100
In addition to the application and information on income, applicants may be asked:
Are there any unusual circumstances that require you to seek energy assistance? Please provide proof
of circumstances.
After receiving energy assistance from this program, will you be able to keep current with future bills?
Do you live in any form of subsidized housing?
Do you have a deferred payment agreement (DPA) with Nevada Power Company?
Within the last 12 months, have you applied for or received assistance from any state and/or federal lowincome energy assistance programs?
Please Note:
Due to the large number of applications received, it may take up to 15 working days to process this
application.
INCOMPLETE OR FRAUDULENT INFORMATION
WILL ELIMINATE THIS APPLICATION FROM CONSIDERATION
3
customer service
Energy Assistance
and Customer
Support Programs
Help for those in need
Financial Assistance
Weatherization Assistance
Nevada Energy Connection
(866) 846-2009
nevadaenergyconnection.nv.gov
Payments are made directly to the energy
company on the customer’s behalf.
Household Size
Maximum Annual Income
1..................................................................... $ 15,315
2..................................................................... $ 20,535
3..................................................................... $ 25,755
4..................................................................... $30, 975
5..................................................................... $ 36,195
6..................................................................... $ 41,415
7..................................................................... $ 46,635
8..................................................................... $ 51,855
Each Additional......................................... $ 5,220
Valid through June 30, 2008
In Clark County (except the City of Henderson)
HELP of Southern Nevada: (702) 369-4357
helpsonv.org
Project REACH
(702) 367-5200
nevadapower.com/help
A Nevada Power funded program for
customers 62 years and older, medically fragile
or Reserve and National Guard members who
meet the income guidelines below. Qualified
customers may apply at United Way partner
agencies. Funds are available year round until
exhausted.
Household Size
Maximum Annual Income
1 – 2.............................................................. $ 29,300 3..................................................................... $ 34,400 4..................................................................... $ 41,500 5..................................................................... $ 48,600 6..................................................................... $ 55,700 Each Additional......................................... $ 7,100 Valid through June 30, 2008
For the City of Henderson
Neighborhood Services: (702) 267-2014
cityofhenderson.com/index.php
Comfort Savings
(866) 920-7822
Typical weatherization assistance measures
may include but are not limited to:
■ Ceiling, floor and duct insulation
■ Duct leakage sealing (return and supply systems)
■ Shell infiltration sealing (replace broken
windows, replace exterior doors and
windows, weather stripping, caulking,
evaporative cooler covers, etc.)
■ Insulation of water heater and water heater pipes
■ Solar screens
■ Heating and cooling system repairs/
replacements
■ Compact fluorescent lamps (CFLs)
Assistance for the hearing impaired
You can communicate directly with our
Customer Service department by phone if you
have teletype transmitting equipment (TDD/
TTY). Call (702) 367-5080, Monday through
Friday 8 a.m. to 5 p.m.
Third Party Notification
(702) 367-5555
nevadapower.com/help
To help prevent disconnects due to misplaced
or forgotten electric bills, Nevada Power offers
a third-party notification service. We notify
the party you indicate (a friend, relative or
agency) when your electric service may be in
jeopardy because of an unpaid bill. The third
party is under no obligation to pay the bill but
can provide you with a friendly reminder to
help you avoid any inconvenience. Please call
our 24-hour Customer Service department
at (702) 367-5555 if you are interested in
this service.
Senior and Disabled Customers
(702) 367-5555
We at Nevada Power are concerned about our
elderly and vulnerable customers. If there
is a permanent resident living in your home
who is seriously ill, disabled or 62 years of age
or older, please call us so we can update your
account information. Green Cross (Life Support Equipment)
(702) 367-5555
nevadapower.com/help
Are you or permanent members of your
household dependent on electrically operated
medical equipment in use 24-hours a day? If
“yes,” then call (702) 367-5555 and a customer
service representative will send you an
enrollment packet for you to complete and
return to sign up for the Green Cross program.
Gatekeeper Program
Nevada Power’s employees, such as meter
readers, field service representatives and
customer service representatives, are trained to
recognize when residents may need assistance.
We inform the appropriate agencies who can
investigate and provide any assistance necessary.
Equal Payment Plan
(702) 367-5555
nevadapower.com/payment
With this payment option, we’ll take your
average power usage and divide it into equal
payments so you’ll know in advance what your
bill will be each month.
Electric Check
(702) 367-5555
nevadapower.com/payment
You never have to worry about paying your
bill on time with this convenient service. With
Electric Check, you can pay your power bill
with an automatic withdrawal directly from
your checking or savings account on the day
the bill is due.
Payment Arrangements
(702) 367-5555
If you have difficulty making a payment,
please call us as we may be able to make
payment arrangements with you depending
upon a number of factors including your past
credit history.
npc/LVCG 3500 rev.07/07
Asistencia financiera
servicio al cliente
Programas de
Ayuda con Costos
de Energía y
Apoyo al Cliente
Nevada Energy Connection
(866) 846-2009
nevadaenergyconnection.nv.gov
Los pagos se hacen directamente a la
compañía de energía de parte del cliente.
Miembros de Familia
Ingreso Máximo Anual
1............................................................$ 15,315 dólares
2............................................................$ 20,535 dólares
3............................................................$ 25,755 dólares
4............................................................$ 30, 975 dólares
5............................................................$ 36,195 dólares
6............................................................$ 41,415 dólares
7............................................................$ 46,635 dólares
8............................................................$ 51,855 dólares
Por miembros adicionales..............$ 5,220 dólares
Válido hasta el 30 de junio de 2008
Proyecto REACH
(702) 367-5200
nevadapower.com/help
Un programa subsidiado por Nevada Power para
clientes de 62 años y mayores, personas frágiles
de salud o miembros de la Reserva y Guardia
Militar que cumplen con los lineamientos de
ingreso que se muestran a continuación. Los
clientes calificados pueden llenar una solicitud en
las agencias asociadas de United Way. Los fondos
están disponibles todo el año hasta agotarse.
Ayuda para aquellos que
la necesitan
Miembros de Familia
Ingreso Máximo Anual
1 – 2....................................................$ 29,300 dólares 3...........................................................$ 34,400 dólares 4...........................................................$ 41,500 dólares 5...........................................................$ 48,600 dólares 6...........................................................$ 55,700 dólares Por miembros adicionales.............$ 7,100 dólares Válido hasta el 30 de junio de 2008
Programa de asistencia para
climatizaciÓn
En el Condado de Clark
(excepto en la Ciudad de Henderson)
HELP of Southern Nevada: (702) 369-4357
helpsonv.org
Para la Ciudad de Henderson
Servicios Vecinales: (702) 267-2014
cityofhenderson.com/index.php
Asistencia para
ahorrar energÍa
(866) 920-7822
Las medidas típicas de climatización que se instalan
por medio del programa de ahorros Comfort
Savings pueden incluir, pero no están limitadas a:
■ Instalación de aislante en el techo, los pisos y
los conductos
■ Sellado de las fugas de los conductos (sistemas
de provisión y retorno)
■ Sellado de las infiltraciones de los
revestimientos (reemplazar ventanas rotas,
reemplazar puertas y ventanas exteriores,
sellos de las puertas, sellado de climatización,
cubiertas de enfriadores por evaporación, etc.)
■ Instalación de aislante en los calentadores de
agua y sus tuberías
■ Pantallas solares
■ Reparaciones / cambios de los sistemas de
refrigeración y calefacción
■ Bombillas fluorescentes compactas (CFL’s, por
sus siglas en inglés)
Asistencia para Personas con Problemas Auditivos
Usted puede comunicarse directamente con
nuestro departamento de Servicio al Cliente por
teléfono si cuenta con un equipo de transmisión
de teletipo (TDD/TTY, por sus siglas en inglés).
Llame al (702) 367-5080 de lunes a viernes de las
8 a.m. a las 5 p.m.
Notificación a Terceras Partes
(702) 367-5555
nevadapower.com/help
Para ayudar a prevenir que su servicio sea
desconectado debido a recibos de electricidad
olvidados o perdidos, Nevada Power ofrece
un servicio de notificación a terceras partes.
Nosotros notificamos a quien usted nos
indique (un amigo, familiar o agencia) cuando
su servicio de electricidad puede estar en
peligro de desconexión debido a la falta de
pago de su recibo. La tercera parte no está bajo
ninguna obligación de pagar el recibo, pero
puede proveerle un recordatorio para ayudarle
a evitar inconveniencias. Por favor llame a
nuestro departamento de Servicio al Cliente
las 24 horas al teléfono (702) 367-5555 si usted
está interesado en este servicio.
Clientes con Discapacidades y Personas Mayores
(702) 367-5555
En Nevada Power estamos preocupados por
nuestros clientes mayores y vulnerables. Si
hay un residente permanente viviendo en
su hogar que tiene una enfermedad seria,
discapacidad o tiene 62 años o más, por favor
llámenos para que podamos actualizar la
información de su cuenta.
Máquina de Corazón-Pulmón
(702) 367-5555
nevadapower.com/help
¿Depende usted o algún miembro de su hogar
de equipo médico eléctrico las 24 horas del
día? Si su respuesta es “sí”, entonces llame al
(702) 367-5555 y un representante de servicio
al cliente le enviará un paquete de inscripción
para que usted lo complete y nos lo envíe para
inscribirlo en el programa Green Cross.
Programa Gatekeeper
Los empleados de Nevada Power, como quienes
miden los medidores, representantes de servicio
de campo y representantes de servicio al cliente,
están capacitados para reconocer cuando los
residentes pueden necesitar asistencia. Nosotros
informamos a las agencias correspondientes que
pueden investigar y brindar la ayuda necesaria.
Programa Equal Payment
o Pagos Iguales
(702) 367-5555
nevadapower.com/payment
Con esta opción de pago, nosotros tomamos
el uso promedio de electricidad y lo dividimos
en pagos iguales para que usted sepa por
adelantado la cantidad a pagar en su recibo
cada mes.
Electric Check
o Cheque Electrónico
(702) 367-5555
nevadapower.com/payment
Nunca tiene que preocuparse por pagar su
recibo a tiempo con este conveniente servicio.
Con el programa Cheque Electrónico usted
puede pagar su recibo de electricidad con una
deducción automática directamente de su cuenta
de cheques o cuenta de ahorros el día en el que
se vence el recibo.
Arreglos de Pago
(702) 367-5555
Si tiene dificultades para realizar un pago,
por favor llámenos, quizá podríamos acordar
arreglos de pago con usted dependiendo
de un número de factores, incluyendo su
historial crediticio.