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COVID-19 Energy Assistance Program For Small Business (CEAP-SB) Application Form (Electricity)

Instructions

Please complete only one electricity application for your registered small business or registered charity. You cannot receive COVID-19 Energy Assistance Program for Small Business (CEAP-SB) funding for multiple storefronts or locations, and you can only receive CEAP-SB funding from your electricity provider once. If you have natural gas service, you may also be able to apply separately for natural gas CEAP-SB support through your natural gas utility. After you have provided your information, please sign this form and provide your consent by: (a) if submitting electronically, typing your name(s) in Section 4; or (b) if submitting by mail, you may print the completed form and sign Section 4 by hand. Please ensure that the information provided is accurate and up-to-date. Once completed, the form can be emailed or printed and mailed to Halton Hills Hydro. Email forms can be submitted to ceap@haltonhillshydro.com. Mailed forms can be sent to Halton Hills Hydro, 43 Alice St. Acton, ON L7J 2A9. CEAP-SB funding is limited and applying does not guarantee that CEAP-SB funds are remaining. Applications will be processed in the order they are received. For information on residential CEAP and lower-income energy support programs available, please visit the Ontario Energy Board’s website.

Program Eligibility

You are eligible for this program if you meet all of the following criteria:

  • As of the date you are applying, your small business or registered charity has an active account with an electricity distributor or a unit sub-meter provider. You will be required to provide your registered business number or charitable registration number.
  • Your small business or registered charity is classified as a general service < 50 kW customer if the account is with an electricity distributor.
  • Your small business or registered charity made at least a partial payment on its electricity bill prior to March 17, 2020, the date of the Provincial Declaration of Emergency.
  • As of the date you are applying, your small business or registered charity has any overdue amounts owing from at least two electricity bills since March 17, 2020.
  • Your small business or registered charity was required to close* its premises to members of the public for regular operations for at least fifteen days as a result of a government order or an inability to adapt your business or charity to comply with public health recommendations.

*“close” means that the small business or registered charity was unable to maintain regular operations as a result of government order or health recommendations that required them to either fully close operations, limit access to their premises or limit the services provided or available to the public.

You may be eligible for an enhanced credit if your small business or registered charity’s main heating source is electricity.

If you are not eligible for CEAP-SB, your place of residence may still be eligible for residential CEAP or lower income energy support programs. Please visit the our website for more information. You may also contact our customer care department at 519-853-3701 for information on entering into an Arrears Payment Agreement.

Section 1: Notice and Consent

When submitting this completed form to Halton Hills Hydro, please do not provide any personal information. The term “personal information” has the same meaning as under the Freedom of Information and Protection of Privacy Act, R.S.O. 1990 c. F.31. Please note that information requested in this form is business identity information (i.e. name, title, and business contact information), not personal information.

Should any personal information be provided within this form, this personal information will be collected by Halton Hills Hydro in accordance with applicable privacy legislation such as the Municipal Freedom of Information and Protection of Privacy Act or the federal Personal Information Protection and Electronic Documents Act and the licence granted to it by the Ontario Energy Board under the Ontario Energy Board Act, 1998.

Your business information is being collected for the purpose of administering CEAP-SB, including but not limited to, determining your eligibility for CEAP-SB.

In addition, Halton Hills Hydro may use information already collected from you for the purposes of administering your utility account (e.g., any data respecting billing, bill payments), for the purposes of evaluating your eligibility for CEAP-SB and administering CEAP-SB.

The funding for CEAP-SB is provided by the Government of Ontario. Given that, in order to verify and determine whether you were eligible for CEAP SB and/or to otherwise administer CEAP-SB, it may be necessary for Halton Hills Hydro to share your information with the Ministry of Energy, Northern Development and Mines. If the Ministry of Energy, Northern Development and Mines requests any of the information, including personal information contained in this form in order to verify your eligibility for CEAP-SB or for audit purposes related to the administration of CEAP-SB, Halton Hills Hydro will supply it to them. The Ministry of Energy, Northern Development and Mines may contact you for further information as part of their audit. You are encouraged to retain any documentation that demonstrates you meet the eligibility for CEAP-SB.

By completing and submitting this application form, you are consenting to the collection, use, and disclosure of your information, including personal information as described above.

Questions regarding this form can be directed to Halton Hills Hydro Customer Service Team at 519-853-3701 or by emailing inquiries@haltonhillshydro.com.

  • Section 2: Program Eligibility Requirements

  • 1. Are you applying for support for a small business or registered charity? * Required

    If you select yes, please provide your registered business number or charitable registration number at the bottom of this form.

    If you select No, CEAP-SB is a targeted program designed to aid certain customers in these difficult times. The response you have selected means your small business or registered charity does not meet the program’s eligibility criteria.

  • 2. Have you previously applied for CEAP-SB electricity support for another premise or account that operates under the same registered business number or charitable registration number? * Required

    If you select Yes, CEAP-SB is a targeted program designed to aid certain customers in these difficult times. The response you have selected means your small business or registered charity does not meet the program’s eligibility criteria.

  • 3. As of the date you are applying, does your small business or registered charity have either: (a) an active account with an electricity distributor as a general service < 50 kW customer; or (b) an active account with a unit sub-meter provider and use less than 150,000 kWh of electricity annually? * Required

    If you select Yes, Halton Hills Hydro will verify this information.

    If you select No, CEAP-SB is a targeted program designed to aid certain customers in these difficult times. The response you have selected means your small business or registered charity does not meet the program’s eligibility criteria.

  • 4. As of the date you are applying, does your small business or registered charity have any overdue amounts owing from at least two electricity bills since March 17, 2020? * Required

    If you select Yes, Halton Hills Hydro will verify this information

    If you select No, CEAP-SB is a targeted program designed to aid certain customers in these difficult times. The response you have selected means your small business or registered charity does not meet the program’s eligibility criteria.

  • 5. Was your small business or registered charity required to close its premises to the public for regular operations for at least fifteen days as a result of a government order or an inability to adapt its business to comply with public health recommendations? * Required

    If you select No, CEAP-SB is a targeted program designed to aid certain customers in these difficult times. The response you have selected means your small business or registered charity does not meet the program’s eligibility criteria.

  • 6. Is your small business or registered charity’s main heating source electricity? * Required

    If you select No, you are still eligible for CEAP funding. Small businesses or registered charities that use electricity as their main heating source may be eligible for an enhanced CEAP-SB credit.

  • Section 3: Utility Account Holder Information

    Before you begin, make sure that you have a copy of your bill for reference.

    Utility Account Information: Please enter your information exactly as it appears on your Halton Hills Hydro bill. If your information is not entered as it appears on your utility bill, your application may not be able to be processed until the information can be corrected and verified.

  • Account Service Address * Required
  • Your Contact Information

    Please provide the best number or e-mail address for your utility to contact you if they have questions about your application.

  • (home, work or mobile)
  • Section 4: Declaration

    By signing below,

    a) I declare that the information I have provided in this application is true and correct; and
    b) I indicate my consent to the collection, use and disclosure of my personal information as described in this form.

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