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Massachusetts
New York
Discount Rate Application for Massachusetts Customers
Yes,
I would like to apply for National Grid’s Low Income Discount Rate and agree to the following statement: I authorize the agency(s) providing my benefits to release information to National Grid for the purposes of enrollment and annual recertification for the Discount Rate and to notify the company if my benefits are discontinued. I also understand that I must notify National Grid if my benefits are discontinued.
Fields with an asterisk symbol (*) indicate required information. *
Select which National Grid account you'd like to apply the
Discount Rate
to:
National Grid Gas Account
National Grid Electric Account
Both National Grid Gas and Electric Accounts
Customer Information
Customer Name:
Customer Address:
City/Town:
State:
Zip Code:
Customer Email:
Phone:
Gas Customer Account Information
National Grid Gas Account Number:
Please enter a valid value in the format of 12345-67890
Don't remember your gas account number(s)?
You can locate it on your National Grid service bill or by
logging into your account.
Electric Customer Account Information
National Grid Electric Account Number:
Please enter a valid value in the format of 12345-67890
Don't remember your electric account number?
You can locate it on your National Grid service bill or by
logging into your account.
Gas and Electric Customer Account Information
National Grid Gas Account Number:
Please enter a valid value in the format of 12345-67890
National Grid Electric Account Number:
Please enter a valid value in the format of 12345-67890
Don't remember your account numbers?
You can locate them on your National Grid service bill or by
logging into your accounts.
Eligibility Criteria for the Discount Rate:
You are a residential customer (primary dwelling only),
Your National Grid utility account is in your name,
And either you are eligible for the low-income home energy assistance program (LIHEAP), or its successor program, for which eligibility does not exceed 200% of the federal poverty level based on a household’s gross income. In a program year in which maximum eligibility for LIHEAP exceeds 200% of the federal poverty level, a household that is income eligible under LIHEAP shall be eligible for the low-income electric discount.
Or you are currently receiving benefits under one of the following means-tested programs.
I Receive Benefits From the Following Program: (Choose one)
Emergency Aid to Elders, Disabled, and Children (EAEDC)*
Food Stamps (SNAP)*
Head Start*
MassHealth (Medicaid)*
National School Lunch Program*
Public Housing*
School Breakfast Program*
Supplemental Security Income (SSI)*
Transitional Aid to Families with Dependent Children (TAFDC)*
Veterans’ Service Benefits* (Chapter 115)
Veterans DIC Surviving Parent or Spouse*
Veterans Non-Service* Disability Pension
Fuel Assistance*
Women, Infants and Children (WIC)
*Please attach photo proof of benefits using the
Choose File
button below. Acceptable forms of proof include a program I.D. card or a copy of the certifying agency's acceptance letter. (
If you don’t see an option to attach a file below, please double check that you have selected a program above and that you are using an up-to-date version of a
supported browser
.)
Attach Required Proof of Benefits Documentation
Attach photo proof for Emergency Aid to Elders, Disabled, and Children (EAEDC)
Attach proof for
Food Stamps (SNAP)
Attach photo proof for Head Start
Attach photo proof for MassHealth (Medicaid)
Attach photo proof for National School Lunch Program
Attach photo proof for Public Housing
Attach photo proof for School Breakfast Program
Attach photo proof for Supplemental Security Income (SSI)
Attach photo proof for Transitional Aid to Families with Dependent Children (TAFDC)
Attach photo proof for Veterans’ Service Benefits (Chapter 115)
Attach photo proof for Veterans DIC Surviving Parent or Spouse
Attach photo proof for Veterans Non-Service Disability Pension
Attach photo proof for Fuel Assistance
Attach photo proof for Women, Infants and Children (WIC)
I certify that all of the information provided on this application is true. I receive benefits from the program indicated and the National Grid residential account above is in my name, and I am income eligible. *