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COVID-19 Energy Assistance
Program (CEAP) Application Form
(Electricity)
Ministry of Energy,
Northern Development and Mines
Hydro One Networks Inc.
P.O. Box 5700
Markham, ON L3R 1C8
Attn: CEAP
Email: CEAP@HydroOne.com
1. As of the date you are applying, you have overdue amounts owing from one or more electricity bill(s)
incurred since March 17, 2020, the date of the first Provincial Declaration of Emergency due to the
COVID-19 pandemic.
INSTRUCTIONS
Please complete an electricity application for your primary residence (where you reside for
more than six
months of the year). You cannot receive COVID-19 Energy Assistance Program (CEAP) funding for
multiple residences. If you previously applied for and received CEAP funding, you may reapply for your
primary residence again, up to the total combined maximum credit of $750. If you have natural gas
service, you may apply separately for natural gas CEAP support through your natural gas utility. This
program is intended to provide support to households that have been financially impacted by COVID-19.
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 Hydro One. The form may also be
completed and submitted online. Please visit HydroOne.com/CEAP or call us at 1-888-664-9376 for
more details.
CEAP funding is limited and applying does not guarantee that Hydro One has CEAP funding remaining.
Applications will be processed in the order they are received. For information on lower-income energy
support programs available, please visit oeb.ca. You may also visit HydroOne.com/FinancialAssistance.
PROGRAM ELIGIBILITY
You are eligible for this program if:
If you previously received funding under this program and are reapplying based on overdue amounts still
owing, you may qualify for additional funding up to a total combined maximum credit of $750.
If you are not eligible for CEAP, you may still be eligible for lower-income energy support programs. Please
visit the Ontario Energy Board’s website at oeb.ca for more information. You may also contact Hydro One for
information on entering into an Arrears Payment Agreement.
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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.
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Account Holder’s Service Address
Your Contact Information (please provide the best number or email address for Hydro One to contact you if we
have questions about your application):
Your Phone Number (home, work or mobile)
SECTION 3: HYDRO ONE ACCOUNT HOLDER INFORMATION
Before you begin, make sure that you have a copy of your Hydro One bill for reference.
Please enter your information exactly as it appears on your Hydro One bill. If your information is not
entered as it appears on your bill, your application may not be able to be processed until the information
can be corrected and verified.
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
(sign by hand or type in your name)
Please email this form to CEAP@HydroOne.com or mail this form to Hydro One. Hydro One’s mailing address is
shown on page 1 of this form. Please visit HydroOne.com/CEAP or call us at 1-888-664-9376 for more details.
Hydro One will review this application and notify you whether you are eligible for CEAP. If approved, a one-time
credit amount will appear on your next bill or the following one, depending on where you are in the billing cycle.
SECTION 4: DECLARATION
Name of Account Holder Date (yyyy/mm/dd)
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Account Holder’s Full Name(s)
Hydro One Account Number (12 digits)
Your Email Address