CompanyThis field is for validation purposes and should be left unchanged.Cascade Natural Gas offers customers the Cascade Arrearage Relief Energy Savings Program to income qualified households. Qualifying customers have a verified cumulative household income that does not exceed 200% of the Federal Poverty Level or 80% of their county's Area Median Income. CARES applies a bill discount to reduce the amount due on monthly bills for 24 months. If applicable, CARES also offers a grant to be applied to the past due amount on an active account or an unpaid debt required to be paid to re-establish service. Cascade Natural Gas Account InformationCustomer Name on Account(Required) First Last Service Address(Required) Street Address City County Primary Telephone Number(Required)Secondary Telephone NumberMailing Address (if different than your service address) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Preferred Language(s)(Required)Verified Income InformationFederal Poverty Level (FPL) percentage, Annual Gross Income and Household number (HH) completed by a designated Community Based Organization for program enrollmentFPL%(Required)Gross Income(Required)Household Size(Required)Interested in Weatherization Program Yes NoCustomer Acknowledgement(Required) AcknowledgementBy checking this box, the Cascade customer acknowledges that submission of their application or participation in the CARES Program is implicit consent that a Community Action Agency may access the customer’s Cascade Natural Gas account information for the purpose of qualifying the customer for additional services.(CBO Name) Representative(Required)Date(Required) If the customer has an active bill discount or any other questions about bill discounts, they can contact Cascade Natural Gas by calling Customer Service at 888-522-1130.