National Grid Financial Hardship Statement MA and Nantucket

To submit the National Grid Financial Hardship Statement, mail the completed form to National Grid, PO Box 960, Northborough, MA 01532-0960. Include all required information and ensure the form is signed and dated. For any questions, contact National Grid customer service using the phone number provided on your bill. It is advisable to keep a copy of the completed form for your records.

There are no specific dates mentioned for 2024 and 2025. Ensure timely submission of the form based on your current financial situation and National Grid's requirements.

The purpose of the National Grid Financial Hardship Statement is to assist customers in Massachusetts and Nantucket who are experiencing financial difficulties. By providing detailed household income information, customers can apply for discount rates on their utility bills. This form helps National Grid assess the financial needs of its customers and offer appropriate support.

• 1. Customer Name: The full name of the customer applying for financial assistance.
• 2. Phone number: The contact phone number of the customer.
• 3. Service Address: The address where the utility service is provided.
• 4. City: The city where the utility service address is located.
• 5. Zip: The zip code of the utility service address.
• 6. National Grid Electric Account: The electric account number with National Grid.
• 7. National Grid Gas Account: The gas account number with National Grid.
• 8. Household Members: Details of all people living in the household, including name, date of birth, income amount, and income source.
• 9. Certification: The section where the customer certifies that the provided information is true and signs the form.
• 10. Additional Information: Space for any additional information about household members and income sources.
• 11. Signature: Signature of the customer certifying the information.
• 12. Date: The date when the form is signed by the customer.

Failing to submit the National Grid Financial Hardship Statement may result in the inability to receive financial assistance or discount rates.

• Loss of Discount Rates: Customers may lose eligibility for discount rates without the form.
• Service Disruption: Failure to provide required information may lead to potential service disruption or disqualification from assistance programs.
• Delayed Support: Not submitting the form can delay financial support and assistance from National Grid.

• 1. Applying for Discount Rates: Use the form to apply for reduced rates on your utility bills.
• 2. Income Verification: Submit this form when requested by National Grid to verify your household income.
• 3. Financial Assistance: Fill out the form to seek financial assistance during difficult times.
• 4. Household Documentation: Use this form to document household members and their income sources.
• 5. Requesting Public Benefits: Customers receiving certain public benefits may use this form to provide necessary information to National Grid.