The purpose of this program is to prevent utility shutoffs for patients contending with temporary financial hardships. It is our policy not to assist patients with payments they cannot maintain on their own.
Assistance is limited to once within a 12-month period for either rent (including the rent eviction prevention assistance) OR utilities.
NKF AZ will pay up to two months in arrears for a maximum of $800.
NKF AZ does not assist with late fees, court fees, or penalties. NKF AZ does not assist with mortgage payments or rent deposits.
- To start a new Utility Shutoff Prevention application use - Note: The first page of this application is a checklist to help you ensure all requirements of the application are met before you submit.
https://www.GrantRequest.com/SID_6273?SA=SNA&FID=35018 - To access a saved or previously submitted application use https://www.GrantRequest.com/SID_6273?SA=AM
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A Utility Consent Form giving NKF AZ permission to contact the utility company must be signed by the patient. When the patient’s name is not on the bill, the Consent must be signed by the responsible party.
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Financial Statement (if not already completed within the last six months for other assistance requests)
Renewal:
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N/A