Xcel Energy Low Income Verification Form PDF Details

Xcel Energy has created a form to verify low income status for customers who may qualify for assistance. The form can be submitted by mail or online, and must be accompanied by documents that support the claim of low income status. Eligibility is based on federal poverty guidelines, and assistance is available for electricity, natural gas, and water service. Learn more about the Xcel Energy Low Income Verification Form, how to submit it, and what qualifying levels mean.

QuestionAnswer
Form NameXcel Energy Low Income Verification Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesxcel energy verification form make, energy income verification form, xcel income form, xcel energy verification form online

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Low Income Verification Form

The purpose of this form is to verify that the Xcel Energy customer stated below is an active participant in the representing organization shown below. This form is required for acceptance of low income subscribers into Xcel Energy’s Solar*Rewards Community Program. Low income subscribers must be verified by one of the following representing organizations:

Energy Outreach Colorado

The Atmosphere Conservancy

Colorado LEAP Program

Municipal Housing Authority (ex: Denver Housing Authority)

Xcel Energy Customer Information:

Customer Name: _________________________________________________

Customer Account Number: ________________________________________

Customer Premise Number: ________________________________________

Customer Address: _______________________________________________

Customer City, State, Zip: __________________________________________

Solar Garden ID: _________________________________________________

Representing Organization Verification:

The customer stated above is an active participant of the program listed below and therefore qualifies as a low income subscriber for the Solar*Rewards Community program.

Name: (printed) _____________________________________________

Signature:* _________________________________________________

Representing Organization: ___________________________________

*A legal representative of the representing organization

This form must be completed and uploaded for each low income subscriber to a solar garden.