CARES Act assistance is available for past due water and wastewater service fees incurred from March - December 2020. The Federal Government has limited these funds to water and wastewater services charges only, it will not cover charges for stormwater, trash, or late fees, interest or penalty charges. Norfolk Utilities will make every effort to apply the maximum amount of credit for which you are eligible. Funding is designed to be a one-time opportunity. Complete the simple self-certification below if you've experienced a COVID-19 economic hardship and have past due water and wastewater service charges.
Enter the HRUBS account holder information. The name and address on the application must match what is on the HRUBS account.
Must be a Norfolk address to apply.
Please include area code and number.
Enter 10 digit account number. Norfolk Utilities will use this information to help determine the total eligible past-due charges.
Check all that apply:
(1) for residential applicants: I am the only person living in the household at the address shown on this form who has applied for this assistance, or (2) for non‐residential applicants: I am the only person who has applied for/on behalf of the non‐residential account holder, including their successors, at the address shown on this form and that I am not a government account holder.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
This field is not part of the form submission.
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