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Protections Application

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Please select the protection you are looking to apply for from the options below. 

Important Notice! By selecting email you are opting to receive electronic communication from National Grid only for this protections application information, we will not use this email to contact you for other purposes unless you have opted in elsewhere.

Elderly , Blind and/or Disabled

The ENTIRE household makeup must consist of any combination of the following. 

  • Elderly - 62 years of age or older and if anyone else is in the home, they are 18 years of age or younger.
  • Blind - The person has central visual acuity of 20/200 or less in the better eye with the use of a correcting lens or an eye which is accompanied by a limitation in the fields of vision such that the widest diameter of the visual field subtends an angle no greater than 20 degrees.
  • Disabled - Receiving Social Security Disability (SSD), Supplemental Security Income (SSI) or Military Benefits due to a service-related disability.


Please list names of ALL household members below and check all that apply.

Name Date of Birth 62 Plus 18 or under Blind Permanently Disabled


Please Provide Proof from One of The Following for Each Household Member:

Elderly    • Driver’s License   • Military ID   • Birth Certificate   • Marriage License   • Passport
Blind    • Medical letter signed by physician
Disabled    • Copy of SSI or SSD award letter or proof of military or service-connected disability from the VA

Life Support or Medical Emergency

Life Support -  Someone in the household relies on electrically operated life-sustaining medical equipment and would require immediate hospitalization if electric service is interrupted.
Medical Emergency - Any other medical need for utility services.