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Rhode Island
Which type of customer are you?
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Discount Rate Application for Rhode Island Customers
Rhode Island - Discount Rate Application
Yes,
I would like to apply for Rhode Island Energy's Low Income Discount Rate and agree to the following statement: I authorize the agency(s) providing my benefits to release information to Rhode Island Energy for the purposes of enrollment and annual recertification for the Discount Rate and to notify the company if my benefits are discontinued. I also understand that I must notify Rhode Island Energy if my benefits are discontinued.
Select which Rhode Island account you'd like to apply the
Discount Rate
to:
Gas Account
Electric Account
Both Gas and Electric Accounts
Customer Information
Customer Name:
Address:
City:
State:
Zip:
Email:
Phone:
Please enter a valid value in the format of 999-999-9999
Gas Account Information
Gas Account Number:
Please enter a valid value in the format of 12345-67890
Don't remember your account numbers? You can locate them on your Rhode Island Energy service bill or by logging into your accounts.
Electric Account Information
Electric Account Number:
Please enter a valid value in the format of 12345-67890
Don't remember your account numbers? You can locate them on your Rhode Island Energy service bill or by logging into your accounts.
Gas and Electric Account Information
Gas Account Number:
Please enter a valid value in the format of 12345-67890
Electric Account Number:
Please enter a valid value in the format of 12345-67890
Don't remember your account numbers? You can locate them on your Rhode Island Energy service bill or by logging into your accounts.
Eligibility Criteria for the Discount Rate:
You are the head of the household or principal wage earner,
and –
You are presently receiving Supplemental Security Income (SSI),
or,
you are eligible to receive assistance from the Supplemental Nutritional Assistance Program (SNAP)
or
Low Income Home Energy Assistance Program (LIHEAP).
Customers receiving benefits through the following programs receive an additional 5 percent discount: Medicaid, General Public Assistance or the Rhode Island Works Program, formally known as Family Independence Program (FIP).
I Receive Benefits From the Following Program:
(Choose one)
Supplemental Security Income (SSI)
Supplemental Nutritional Assistance Program (SNAP)
Low Income Home Energy Assistance Program (LIHEAP)
Medicaid
General Public Assistance
Rhode Island Works Program (formerly known as Family Independence Program (FIP)
*Please attach photo proof of benefits using the
Choose File
button below. Acceptable forms of proof include a confirmation letter for the current year from the organizations you indicated that you receive benefits from, or a qualification card from the Rhode Island Department of Human Services. Note: You can request a qualification card by calling 1-855-697-4347.
Attach Required Proof of Benefits Documentation
Attach photo proof for
Supplemental Security Income (SSI)
Attach proof for
Supplemental Nutritional Assistance Program
(SNAP)
Attach photo proof for
Low Income Home Energy Assistance Program (LIHEAP)
Attach photo proof for
Medicaid
Attach photo proof for
General Public Assistance
Attach photo proof for
RI Works Program (formally known as Family Independence Program (FIP)
I certify that all of the information provided on this application is true. I receive benefits from the program indicated and the Rhode Island Energy residential account above is in my name, and I am income eligible. *