Customer Care Program

Print

customer care logo

customer care program qualifications

Our Customer Care Program offers a monthly credit of $10.00 ($120.00 a year) for low-income 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 on the bottom of this page.



Customer Care Application (Spanish)

Programa de Asistencia al Cliente

Los clientes de agua residencial tienen la oportunidad de solicitar el nuevo Programa de Asistencia al Cliente de JCSD. El Programa de Asistencia al Cliente ofrece un crédito mensual de $10.00 para clientes residenciales de bajos ingresos con un tamaño de medidor de 1" o más pequeño, que cumplan con todos los requisitos del programa.

Los solicitantes pueden ser requeridos que proporcionen prueba de elegibilidad.

Los documentos que califican incluirán, entre otros, los siguientes: Evidencia de inscripción en un programa de asistencia para personas de bajos ingresos con otra agencia de servicios públicos, participación en programas de asistencia del gobierno como SNAP, SSI o TANF u otra documentación que muestre que los ingresos anuales del hogar son dentro de las guías del programa.

Los requisitos de ingresos son los siguientes:

     Número en el Hogar          Ingreso Anual Máximo          Ingreso Mensual Máximo    
 1  $24,980  $2,082
 2  $33,820  $2,818
 3  $42,660  $3,555
 4  $51,500  $4,292
 5  $60,340  $5,028
 6  $69,180  $5,765
 7  $78,020  $6,502
 8  $86,860  $7,138

 

Por cada persona adicional, agregue $ 8,840 por año o $ 737 por mes.

Para obtener más información por favor llame al servicio al cliente al (951) 685-7434. Solicitudes aceptadas en persona en 11201 Harrel Street, Jurupa Valley Ca, 91752.

 


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
 *

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 $2,082 $24,980
2 $2,818 $33,820
3 $3,555 $42,660
4 $4,292 $51,500 
5 $5,028 $60,340 
6 $5,765 $69,180
7 $6,502 $78,020
8 $7,138 $86,860
Per Each Additional Person, Add $8,840 $737
3

Certification

 *
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.
5 MB
.gif, .jpg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt
5 MB
.gif, .jpg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt
5 MB
.gif, .jpg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt
5 MB
.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.

 *
  1. To receive a copy of your submission, please fill out your email address below and submit.
    CAPTCHA
    Change the CAPTCHA codeSpeak the CAPTCHA code