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Utilities Assistance Application

Welcome to our Assistance Forms page! Here, you will find the necessary applications for housing and utilities assistance. We are committed to helping you navigate the process and provide the support you need. Thank you for taking the step towards accessing the resources that are available to you! Be sure to check and utilize the resources linked below for further assistance with meeting your needs. 

Utilities Assistance Request

  1. To be eligible for utility assistance, the client must have Sickle Cell Disease or be the caregiver of a minor with Sickle Cell Disease and be a CSRA Resident (Georgia Counties:

    Burke, Columbia, Glascock, Hancock, Jefferson, Jenkins, Lincoln, McDuffie, Richmond, Taliaferro, Warren, Washington, and Wilkes. 

    South Carolina Counties:

    Aiken, Edgefield, Allendale, Barnwell, and McCormick.)

  2. Client must present a valid picture ID in addition to the utility bill for assistance.

  3. The client must present a disconnect notice in order to receive assistance. Additionally, client must allow HSCF staff and/or representative to contact the utility agency for verification.

  4. Each client can receive a maximum of up to $200.00 per calendar year. Funds are distributed on a first come first serve basis. If the client chooses not to use the full amount of $200.00 at one time, there is no guarantee that the unused portion will be available for subsequent requests.

  5. Utility bill must be in client’s name or the caregiver of a minor with SCD.

  6. A list of available community resources will be provided should further assistance be required.

    Note: All assistance is based on available resources.

Multi-line address

Please upload a copy of the utility bill as well as a copy of the driver's license.

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