Skip to main content

Jobs
Events
News
Contact Us

Get email updates

Main navigation

Community
Business
Departments
Our County
I want to...

click to return to home page

Social Services

Utility Support Application Request

Utility Support Application Request

All requests to be mailed an application are tracked in our database and addressed in the order received so please make only one request either online or by phone. Repeat requests delay the process. Applications are mailed once a week.

Indicates required field

My household is within Clackamas County.

(For households not within Clackamas County, please call 211 for information on Energy Assistance in your area.)

First Name

Last Name

Email

Phone

Secondary Phone optional

Address

Address

Address Line 2

City

State

ZIP

Mailing Address

Mailing Address (if different)

Mailing Address Line 2

City

State

ZIP

Preferred Language

Number of adults in the home over the age of 18 who have sporadic income from odd jobs, and/or an informal child support agreement, and/or zero income.

I have not received unemployment within the last six months.

I have experienced delays with claims, reduction of income, and/or have been quarantined.

I am requesting assistance with the following utilities:

Electric—PGE (Portland General Electric)

Electric - PGE Radios

I am current on my account.

I have a disconnect notice.

I am shut off.

Electric—CUB (Canby Utility Board)

Electric—CUB (Canby Utility Board) Radios

I am current on my account.

I have a disconnect notice.

I am shut off.

NW Natural

NW Natural Radios

I am current on my account.

I have a disconnect notice.

I am shut off.

Oil

Oil Radios

I currently have a supply.

I am low on my supply.

I am out.

Pellets

Pellets Radios

I currently have a supply.

I am low on my supply.

I am out.

Propane

Propane Radios

I currently have a supply.

I am low on my supply.

I am out.

Wood

Wood Radios

I currently have a supply.

I am low on my supply.

I am out.

I understand this form completion and submission will add my name to the Energy Assistance waitlist. When my name comes to the top of the waiting list, I will be mailed an application. I agree to provide any and all documentation as required to determine eligibility.

SHORTCUTS

Procurement Process, Contracts and Grants

Contact the County

Report a Hazard

Public Records Request

HIPAA/Privacy Concerns

Title VI Compliance Plan

Website Privacy

ELECTED OFFICIALS

Chair Tootie Smith

Commissioner Paul Savas

Commissioner Martha Schrader

Commissioner Mark Shull

Commissioner Ben West

County Assessor/Tax Collector Bronson Rueda

County Clerk Catherine McMullen

District Attorney John Wentworth

Justice of the Peace Karen Brisbin

Sheriff Angela Brandenburg

Treasurer Brian Nava

Can’t find what you're looking for?

Search Box

Get email updates

©2024 Clackamas County