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Ameren medical hardship form 2025

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The document is an application form for the Ameren Illinois Utilities Non-Residential Hardship Assistance Program, designed to provide financial assistance to non-profit organizations and small businesses facing hardships due to increased electric rates. It requires applicants to provide detailed information about their organization, the nature of their hardship, and consent for account information verification. The application must be submitted by a specified deadline and will be processed by the Energy Assistance Foundation.

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Click ‘Get Form’ to open the Ameren Medical Hardship Form in the editor.
Begin by filling in your account number and selecting whether you are a non-profit organization or business. Ensure that the name listed matches the account holder's name.
Complete your contact information, including phone number and email address. If your mailing address differs from your physical address, provide that as well.
Indicate your legal status and check if you are a non-profit organization. Provide a brief description of the services or products offered by your organization.
For small businesses, answer how many employees you have and describe the hardship faced due to increased electric rates. Non-profits should explain their hardship and specify who will benefit from the funds.
Review all entered information for accuracy before submitting. Once completed, save your form and follow the instructions for submission provided at the end of the document.

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Versions	Form popularity	Fillable & printable
2021	4.3 Satisfied (30 Votes)
2009	4.2 Satisfied (38 Votes)

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What is the Ameren Illinois Economic Hardship Recovery Program?

Ameren Missouri created the Clean Slate Program to help eligible gas customers clear their past-due balances and start fresh.

What is the Ameren Mo Clean Slate program?

The Supplemental Arrearage Reduction Program (SARP) is a $10 million initiative providing customers who qualify for LIHEAP with up to $1,000 per year for each service connection (gas and electric) to help them reduce their outstanding energy bills.

What is the Sarp program in Ameren Illinois?

Ameren Missouri customers who typically qualify for energy assistance may now be eligible to receive up to $1,400 in bill payment assistance across various programs. For Ameren Illinois customers, you can apply through your local low-income energy assistance program for an additional $150 in assistance.