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No
►
If you select No, the response you have selected means your household does not meet the
program’s eligibility criteria.
SECTION 1: NOTICE AND CONSENT
When you submit this completed form to Hydro One, it is collecting your personal information 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 personal information is being collected for the purpose of administering CEAP, including but not limited to,
determining your eligibility for CEAP.
In addition, Hydro One may use personal information already collected from you for the purposes of
administering your Hydro One account (e.g., any data respecting billing, bill payments, and previous
participation in energy support programs), for the purposes of evaluating your eligibility for CEAP and
administering CEAP.
The funding for CEAP is provided by the Government of Ontario. Given that, in order to verify and determine
whether you were eligible for CEAP and/or to otherwise administer CEAP, it may be necessary for Hydro One 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 personal information contained in this form in order to
verify your eligibility for CEAP or for audit purposes related to the administration of CEAP, Hydro One 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.
By completing and submitting this application form, you are consenting to the collection, use, and disclosure of
your personal information as described above.
Contact information for the person who can answer questions about the collection of the information in this form
is available at HydroOne.com/Privacy.
SECTION 2: PROGRAM ELIGIBILITY REQUIREMENTS
CEAP is a targeted program designed to aid customers who have overdue amounts on their electricity bills as a
result of the COVID-19 pandemic. Please complete the following questions to verify your eligibility.
2.
Have you previously applied for and received funding under this program?
1. As of the date you are applying, do you have overdue amounts owing from one or more electricity bill(s)
incurred since March 17, 2020, the date of the initial Provincial Declaration of Emergency?
Yes: I have overdue amounts owing from one or more electricity bill(s) since March 17, 2020, the date
that the Provincial Declaration of Emergency was first made because of the COVID-19 pandemic.
► If you select Yes, Hydro One will verify this information. You also attest that you have been
financially impacted by the COVID-19 pandemic.
Yes: I previously applied and received funding under this program.
If you select Yes, and are eligible, the total of previously received funding and any additional
funding will not exceed the new maximum credit of $750.
No
►
If you select No, you may be eligible to receive funding, up to the new maximum credit of $750.
►