Longmont CAReS Application Form

This an application for assistance programs from the City of Longmont, including rebates for water, grocery sales tax, property tax/rent, park and greenway maintenance fee, and electricity. Qualification is based on income.

Do You Qualify?

If your household receives any of the following, you might qualify:

Select the ones that you qualify for:

Applicant Information

First Name

Last Name

Spouse First Name (If applicable)

Spouse Last Name (If applicable)

Address

City

Zip

Utility Account Number (if known)

Phone Number

Please provide the best phone number where we can reach you.

Phone

Email address

Number in Household

Do you have a Saint Vrain Valley School District student in your household?

Do you rent or own your home?

If you are a homeowner, please enter the amount of Longmont city portion of your most recent property tax.

If you rent, please enter your current monthly rent amount.

Do you prefer communication in English or Spanish?

Please indicate if you would like to receive information on the following programs:

Housing Rehabilitation - Financial Assistance to make repairs to homes within the city limits

Down Payment Assistance - Financial assistance to help first-time buyers purchase a home

Life Support Discount - Electric rate discount for customers using medically necessary life-sustaining electrical equipment

Efficiency Programs: Upgrade fixtures or receive a home audit to help you use electricity and water more efficiently

Garden In A Box: Discount on a professionally designed waterwise garden kit, including plants

SOLL (Sustainable Opportunities, Lifestyles & Leadership): get free installation of eco-upgrades; access to cost-saving City Services; and education in sustainable lifestyles

Please attach required documents:

1. A notice of eligibility for LEAP, SNAP, Medicaid-MSP, 104PTC, USDA Free Lunch, WIC. 2. A statement showing prior year rent or most recent property tax statement information. You will receive notification of the City rebates you qualify for based on your information. These rebates will be applied as a credit on your utility bill or as a check to your home address if you do not receive a utility bill. Processing time can be up to six weeks. Receiving a rebate from the City of Longmont does not affect any other current assistance.

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