COtual water form : Utility Assistance & Energy Conservation : Programs : Community Action

City of Tualatin Utility Assistance

Name as it appears on your bill

Address as it appears on your bill

City, state and Zip

Mailing address if different

Email Address

Number of people that live in your household

Please provide full name and birthdates for all living in home.

I am a customer of City of Tualatin Utilities

Account number

Phone Number

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Are you fleeing Domestic Violence and need your address kept confidential?

Please upload any documents that show you are currently enrolled in one of the programs above or income verification for everyone in your household for the last 60 days showing you meet income guidelines

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Community Action is required by law to maintain the privacy of our participants’ protected personal information. For more information about our privacy practices:

Privacy Notice

COtual water form

City of Tualatin Utility Assistance

Important Notice - New Beaverton Location

Hillsboro Multi-Service Center

Tigard Multi-Service Center