Customer Care Program

Print Feedback

Font Size: + -

customer care logo

customer care program qualifications

Our Customer Care Program, which is partially funded by JCSD employees, offers a monthly credit of $10.00 ($120.00 a year) for low-income single-family residential customers with a meter size of 1" or smaller who meet all program requirements. Enrollment is open on a continuous basis until funding is exhausted. Annual re-application is required.

Applicants may be required to provide proof of eligibility.

Qualifying documents will include but may not be limited to the following: Evidence of enrollment in a low-income assistance program with another utility agency, participation in government assistance programs such as SNAP, SSI, or TANF or other documentation showing annual household income within program guidelines.

Ready to apply? It’s easy!

Apply By Mail or Drop-off

1. Download and print our Customer Care Program application or pick up a paper copy in person during our normal business hours from our headquarters office located at 11201 Harrel Street.
2. Complete the application and drop it off in person to our Customer Service team or in our overnight drop box.

english customer care application - thumbnail graphic

You may also mail the completed application back to us. Please address to;

Attn: Customer Care Program
11201 Harrel Street
Jurupa Valley, CA 91752

Apply In Person

Stop by our headquarters office located at 11201 Harrel Street during our normal business hours to apply in person.

Apply Electronically (paperless)

Complete our Customer Care Program form located below.

Please correct the field(s) marked in red below:

Electronic Application

This is the electronic form to apply for twelve months of financial fixed savings through JCSD's Customer Care Program. Applications will be reviewed on a first-come first-serve basis and acceptance will be based on the eligibility criteria.

To apply electronically, please complete each question on this form and click "submit."

Information collected through this form is protected by our Privacy Policy.

1

Customer Account Number

*

2

Applicant Information

*

First Name

Last Name (Surname)

Phone Numberext.

Street Address

Zip Code

Email Address

Eligibility is based on either

Current enrollment in another low-income assistance program with another utility agency, participation in government assistance programs such as SNAP, SSI, or TANF

OR

Annual household income that falls below the amounts listed below - based on the number of people in your household.

Number In Household	Maximum Monthly Income	Maximum Annual Income
1	$2,265	$27,180
2	$3,052	$36,620
3	$3,838	$46,060
4	$4,625	$55,500
5	$5,412	$64,940
6	$6,198	$74,380
7	$6,985	$83,820
8	$7,772	$93,260
Per Each Additional Person, Add	$786	$9,440

3

Certification

*

By checking this box, I certify that I meet the program guidelines above and understand that I am responsible for providing proof of eligibility.

4

Please upload up to 4 files or images of evidence of

Enrollment in a low-income assistance program with another utility agency, participation in government assistance programs

OR

Proof of income.

** For technical assistance, please contact a Customer Service Representative at 951.685.7434. For Mobile Device Users - Photos must be taken at time of submission. Uploading of existing images is not supported. **

Clear

Maximum size allowed: 5 MB

Allowed types: .gif, .jpg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Clear

Maximum size allowed: 5 MB

Allowed types: .gif, .jpg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Clear

Maximum size allowed: 5 MB

Allowed types: .gif, .jpg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Clear

Maximum size allowed: 5 MB

Allowed types: .gif, .jpg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

5

I certify that all the above statements are true and correct to the best of my knowledge. I understand that a false statement may disqualify me for benefits. I also understand that funding for this program is limited and completing this form does not guarantee enrollment in this program.

Please enter your initials here in lieu of a signature.

*

To receive a copy of your submission, please fill out your email address below and submit.
Email Address

To prevent spam we utilize a verification code system. Please enter the code as it is shown in the box below:

Code: