We are able to assist with utility bills once a year to an individual. We do not assist financially with rent, hotel bills, or gasoline. If your utility bill is included in your rent, please attach a copy of your lease that states your utilities are included with your rent.

Work Entry

First Name

Last Name

Mobile Phone

Do you attend Abundant Life Church?

No Yes

How did you hear about us?

What is your need?

Please attach a copy of your most recent utility bill.

To be considered for utility assistance, please submit a complete copy of your most recent bill that clearly shows all of the following information. If any item is missing, we cannot accept your bill or proceed with your application.

Your full name
The company name
The company address
Your account number
Your home address
The date (must be your most recent bill)

Utility Bill

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Utility Assistance

Work Entry