By signing this document, I give Otter Tail Power permission to obtain information about me and agree to the following:
• I agree that I’ve received/qualified for Energy Assistance for the current Low Income Home Energy Assistance Program (LIHEAP) federal fiscal year this heating season.
• I agree to allow Otter Tail Power to use payment information in the evaluation of this program.
• I understand I must make my monthly bill payment in order to stay on the program and to prevent service disconnection.
• I agree to notify Otter Tail Power if there are changes in
my income, household size, or if I move, and I agree to provide Otter Tail Power income verification documentation if requested.
• I agree to allow Otter Tail Power to share any of the above information with other organizations that provide energy assistance, conservation, and other services.