Project Share13 of 14

Note: Fields marked with a * are required.

The information you provide may be shared with partnering City departments to determine eligibility for additional governmental benefits for which you may qualify. Customer data may be shared with third-party contractors to conduct essential utility business, such as printing and mailing bills and providing inserts on city programs that increase your access to free or discounted services and products. *

To learn more please visit: http://www.seattle.gov/city-light/about-us/what-we-do/privacy-policy

By checking the box below, I certify that the information I provided in this application is true and correct. I agree to follow the rules of the Project Share Program. I will pay back any discount I receive if I have provided false information to the Project Share Program.
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By entering your full name below, you are agreeing to the following statement: *

I am aware that my information is subject to review and verification and that other documentation may be required. I grant permission to request information from the Seattle Housing Authority, Sec 8, HUD, King County Housing Authority, other government agencies, or their delegated agents; this may result in receipt or denial of City benefits. Submitting this application does not guarantee eligibility or enrollment in any programs.
 

I certify that the information I provided is accurate and complete and that I may be subject to criminal prosecution if I have knowingly given false or misleading information. I agree to provide updated proof of eligibility at any time, if requested. I understand that if I am found to be in violation of program rules and receive assistance and have not truly disclosed all information, I will be removed from the program(s) and the City may recover the actual cost(s) for the periods I was not eligible. I will notify the City of Seattle if my income or living situation changes.