Non form va 2026

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The document outlines the City of Richmond's COVID-19 Municipal Utility Relief Program for non-residential customers, providing one-time financial assistance for utility arrearages due to economic hardships caused by the pandemic. Eligible applicants must meet specific criteria, including being a non-residential customer with active utility service and having fallen behind on bills between March 1, 2020, and December 30, 2020. The application process requires certification of hardship and submission by January 17, 2021.

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Click ‘Get Form’ to open the non-residential application in the editor.
Begin with Section 1, where you will enter the eligible property details. Fill in the Account Name, Street Address, City, Account Number, and Zip Code accurately.
Proceed to Section 2 for Customer Contact Information. Provide the First Name, Last Name, Daytime Phone, Email, and Mailing Address if it differs from the property address.
In Section 3, attest to your COVID-19 economic hardship by checking 'Yes' or 'No' regarding previous assistance received. Include a brief explanation of your hardship.
Complete Section 4 by signing and dating the application. Ensure that all certifications are understood and agreed upon before submission.
Finally, submit your completed application via email or fax as indicated at the bottom of the form. Make sure it is sent before the deadline.

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