Neighbor-to-Neighbor Program Application Form

 

Once you have completed the application below, 西班牙&E will process your request and notify you if you are eligible for a pledge from the Neighbor-to-Neighbor (NTN) Program. Please note that completing this form does not guarantee an NTN pledge.

1. Have you received a disconnection order from 西班牙&E?

Unfortunately, to be eligible for NTN funds, you must have received a disconnection order from 西班牙&E. 其他协助 节目，请浏览 ngskmc-eis.net/assistance.

 

2. Are you applying for NTN for an active and open residential account?

Unfortunately, to be eligible for NTN funds, the residential account must be open and active. 其他协助 节目，请浏览 ngskmc-eis.net/assistance.

3. Is this account for a primary residence?

Unfortunately, only primary residences are eligible for NTN funds. 其他协助  节目，请浏览 ngskmc-eis.net/assistance.

4. Are you a landlord applying for a tenant or a sub-metered account?

Unfortunately, the tenant must apply for NTN funds. If the tenant is a sub-metered account, please have them call 2-1-1 to apply. 其他协助 节目，请浏览 ngskmc-eis.net/assistance.

5. Have you applied for NTN in the past 12 months? Please note that duplicate applications may slow processing time.

Unfortunately, customers are only eligible for NTN once in a 12-month period. 其他协助 节目，请浏览 ngskmc-eis.net/assistance.

 

账户信息

Note: If your account number has two or three leading zeros, 不要包括零, 也没有空间, and enter only the first 10 digits. 

If your account starts with 2100, only enter the first 12 digits. 

联系信息
服务地址信息
认证
If you are facing financial hardship, check all that apply

By checking this box, I certify that I am a current 西班牙&E customer, I am suffering a financial hardship that prevents me from paying my 西班牙&E bill, I am at least 60 days past due on my 西班牙&E bill, and I am seeking financial assistance from 西班牙&E’s Neighbor-to-Neighbor Program.

I acknowledge that the average waiting period for payment of the voucher is four to six weeks. I agree to continue to pay my energy bill(s) and/or keep all payment arrangements made with 西班牙&E. I understand that failure to comply with the terms of this voucher may delay payment or result in immediate cancellation of the Neighbor-to-Neighbor pledge.

我也授权可持续发展目标&E to send me information about utility assistance programs and to send my information to 西班牙&E contractors to schedule energy audits at my discretion.

I declare under penalty of perjury that the foregoing is true and correct.