Utility Shutoff Prevention

Utility Shutoff Prevention is sponsored by National Kidney Foundation of Arizona. This program provides one-time financial assistance to eligible Arizona residents with end-stage renal disease (eGFR<15) or transplant recipients to prevent utility shutoffs due to temporary financial hardships.

Utility Shutoff Prevention | National Kidney Foundation of Arizona Utility Shutoff Prevention Applications for this program are only accepted during the last five days of each month and the first five days of the next month.

Until further notice, rent and utility assistance will be reviewed on a first-qualified, first-served basis and is limited to up to five (5) approved applications per cycle, not to exceed $8,000 in total assistance . Applications will close once either limit is reached. This policy ensures responsible stewardship of grant funds and equitable access to assistance.

Please submit complete and accurate applications to expedite awards. _________________________________________________________________ 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.

This assistance is limited to a one-time assistance for either rent (including the rent eviction prevention assistance) OR utilities. Patients who have previously received rent or utility assistance with NKF AZ prior to January 2025 will not be eligible to receive this assistance. The maximum household income cannot exceed 200% FPL (See FPL Chart ).

Income for ALL individuals living at the address must be reported on the Financial Statement. NKF AZ will pay up to two months in arrears for a maximum of $800. NKF AZ does not assist with late fees, reconnect fees, or other penalties.

Patients must be prepared to pay any remaining balance not covered by NKF AZ in order to prevent the utility shutoff. Patients must attempt to set up payment arrangements with the utility company before applying for NKF AZ utility assistance. If a patient is unsure of how to do this, please review the shutoff notice with them to help them find the phone number they need to call, per the notice.

To start a new Utility Shutoff Prevention application go to https://apply. yourcausegrants. com/apply/programs/b25254c0-93ba-4219-afd8-b788e4983978/routing To access a saved or previously submitted application go to https://bbgm-apply.

yourcausegrants. com/apply/applications If this is the first time the patient has requested assistance from NKF AZ, they must complete a New Applicant Registration form. Please attach this form to the application.

New Applicant Registration Form – ENGLISH New Applicant Registration Form - SPANISH A Utility Assistance Application and Consent form with Financial Statement (the Financial Statement is the last page of the PDF) 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 and additional verification that the patient is living at the address will be required. This may include a copy of their Arizona state ID that lists the address, a bill in the patient's name that has been sent to that address (no "junk" mail), or some other formal document mailed to the patient at that address.

English Utility Assistance Application and Consent Spanish Utility Assistance Application and Consent