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.
Question | Answer |
---|---|
Form Name | Xcel Energy Low Income Verification Form |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | xcel energy verification form make, energy income verification form, xcel income form, xcel energy verification form online |
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.