Davenport, WA · Lincoln County
Neighbors Helping Neighbors Utility Relief Application
Davenport residents use this application to request emergency financial assistance with utility costs through the Neighbors Helping Neighbors program.
What this form is
This application is for people requesting emergency financial assistance with utility costs from the City of Davenport’s Neighbors Helping Neighbors program. Applicants provide contact, household, employment, income, and housing information; explain their financial situation; and provide documentation for verification, including a utility bill and delinquency notice. The form includes a certification and authorization for the committee to contact listed organizations.
Who needs it
Davenport residents requesting emergency utility assistance should complete the application and provide the requested household, income, and verification information.
How to submit it
The form lists the City of Davenport at P.O. Box 26, Davenport, WA 99122, and phone number 509-725-4352. It does not provide specific submission instructions.
About notarization
This document is signed and dated without a notary; the applicant certifies the information and authorizes contact with listed organizations, with no notarized or sworn attachment specified.
How to submit this form
- 1
Download The Application
Download the Neighbors Helping Neighbors Utility Relief Application PDF.
- 2
Complete The Application
Provide contact, household, employment, income, and housing details, then explain your financial situation.
- 3
Gather Verification Documents
Gather the verification documents listed on the form, such as a utility bill and delinquency notice.
- 4
Sign And Date The Form
Certify the information and authorization, then sign and date the application.
- 5
Contact The City
The form lists the City of Davenport mailing address as P.O. Box 26, Davenport, WA 99122, and phone number 509-725-4352.
Frequently asked questions
- Do I need a notary for the Neighbors Helping Neighbors application?
- No. The applicant signs and dates the form without a notary. The application includes a certification and authorization, but does not specify a notarized or sworn attachment.
- How do I submit the Davenport utility relief application?
- The form lists the City of Davenport at P.O. Box 26, Davenport, WA 99122, but does not give specific submission instructions. It also lists phone number 509-725-4352.
- What information does the application ask for?
- It asks for contact and household details, employment status, income for the applicant and household members, housing status, and an explanation of the financial situation.
- What documents does the application list for verification?
- The form lists a utility bill, a delinquency notice, and a rent receipt or a landlord letter showing rent and deposit amounts.