Fillable COVID-19 Energy Assistance Program for Small Business (CEAP-SB) (Hydro One)

Fill Online, Printable, Fillable, Blank COVID-19 Energy Assistance Program for Small Business (CEAP-SB) (Hydro One) Form

Use Fill to complete blank online HYDRO ONE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

COVID-19 Energy Assistance Program for Small Business (CEAP-SB) (Hydro One)

On average this form takes 4 minutes to complete

The COVID-19 Energy Assistance Program for Small Business (CEAP-SB) (Hydro One) form is 6 pages long and contains:

  • 0 signatures
  • 8 check-boxes
  • 12 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Hydro One forms online.

BROWSE HYDRO ONE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Page 1
COVID-19 Energy Assistance
Program for Small Business
(CEAP-SB) Application Form
(Electricity)
INSTRUCTIONS
Please complete an electricity application for your registered small business or
registered charity. If you previously applied for and received funding from CEAP-SB,
you may reapply again, up to the total combined maximum credit of $1,500. If you
have natural gas service, you may also be able to apply separately for natural gas
CEAP-SB support through your natural gas utility. This program is intended to
provide support to registered small businesses and registered charities 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-SB or call us at 1-888-664-9376 for more details.
CEAP-SB funding is limited and applying does not guarantee that Hydro One
has CEAP-SB funding remaining. Applications will be processed in the order
they are received. For information on residential CEAP and lower-income energy
support programs available, please visit the Ontario Energy Board’s website.
Ministry of Energy,
Northern Development and Mines
Hydro One Networks Inc.
P.O. Box 5700
Markham, ON L3R 1C8
Attn: CEAP-SB
Email: CEAP-SB@HydroOne.com
Page 2
PROGRAM ELIGIBILITY
You are eligible for this program if:
1. As of the date you are applying, your small business or registered charity has an
active account with Hydro One. You will be required to provide your registered
business number or registered charity number.
2. Your small business or registered charity is classified as a general service less
than 50 kW customer.
3. As of the date you are applying, your small business or registered charity has
overdue amounts owing from one or more previous electricity bill(s) incurred since
March 17, 2020, the date of the first Provincial Declaration of Emergency due to
the COVID-19 pandemic.
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 $1,500.
If you are not eligible for CEAP-SB, your business may still be eligible for property
tax and energy bill rebates. More information can be found here:
Ontario.ca/covidsupport.
In addition, your primary residence may be eligible for residential CEAP or other
energy support programs. Please visit HydroOne.com/FinancialAssistance for
information on entering into a payment agreement. You may also visit the Ontario
Energy Board’s website for more information.
Page 3
SECTION 1: NOTICE AND CONSENT
When submitting this completed form to Hydro One, please do not provide any
personal information. The term “personal information” has the same meaning as under
the Freedom of Information and Protection of Privacy Act, R.S.O. 1990 c. F.31. Please
note that information requested in this form is business identity information (i.e. name,
title, and business contact information), not personal information.
Should any personal information be provided within this form, this personal information
will be collected by Hydro One 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 business information is being collected for the purpose of administering
CEAP-SB, including but not limited to, determining your eligibility for CEAP-SB.
In addition, Hydro One may use information already collected from you for the
purposes of administering your Hydro One account (e.g., any data respecting billing,
bill payments), for the purposes of evaluating your eligibility for CEAP-SB and
administering CEAP-SB.
The funding for CEAP-SB is provided by the Government of Ontario. Given that, in
order to verify and determine whether you were eligible for CEAP-SB and/or to
otherwise administer CEAP-SB, 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 information,
including personal information contained in this form in order to verify your eligibility for
CEAP-SB or for audit purposes related to the administration of CEAP-SB, 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-SB.
By completing and submitting this application form, you are consenting to the
collection, use, and disclosure of your information, including 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.
Page 4
SECTION 2: PROGRAM ELIGIBILITY REQUIREMENTS
1. Are you applying for support for a small business or registered charity?
Yes (If you select Yes, please provide your registered business number
or charitable registration number. Please enter the number in Section 3.)
No (If you select No, CEAP-SB is a targeted program designed to aid
certain customers in these difficult times. The response you have selected
means your small business or registered charity does not meet the
program’s eligibility criteria.)
2. As of the date you are applying, does your small business or registered charity have
an active account with Hydro One as a general service less than 50 kW customer?
Yes (If you select Yes, Hydro One will verify this information.)
No (If you select No, CEAP-SB is a targeted program designed to aid certain
customers in these difficult times. The response you have selected means
your small business or registered charity does not meet the program’s
eligibility criteria.)
3. As of the date you are applying, does your small business or registered charity have
overdue amounts owing from one or more previous electricity bill(s) since March 17,
2020, the date of the initial Provincial Declaration of Emergency?
Yes, I have overdue amounts owing from one or more previous 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.)
No (If you select No, the response you have selected means your small
business or registered charity does not meet the program’s eligibility criteria.)
4. Have you previously applied for and received funding for CEAP-SB electricity support?
Yes (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 $1,500.)
No (If you select No, you may be eligible to receive funding up to the new
maximum credit of $1,500.)
CEAP-SB 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.
Page 5
SECTION 3: HYDRO ONE ACCOUNT INFORMATION
Before you begin, make sure that you have a copy of your Hydro One bill for reference.
Hydro One Account Information: Please enter your information exactly as it appears
on your small business or registered charity’s Hydro One bill. If the information is not
entered as it appears on your small business or registered charity’s Hydro One bill, your
application may not be processed until the information can be corrected and verified.
1. Hydro One Account Number:
________________________________________________________
Name on the Account:
________________________________________________________
Name of Person Authorized to Act on Behalf of the Account:
________________________________________________________
Account Service Address:
________________________________________________________
2. Your Registered Business Number or Charitable Registration Number:
________________________________________________________
3. Your small business or registered charity contact information (please provide
the best phone number or email address for Hydro One to contact you if we
have questions about your application):
Phone Number (home, work or mobile):
________________________________________________________
Email Address:
________________________________________________________
Page 6
SECTION 4: DECLARATION
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 information,
including personal information, if applicable, as described in this form
Name of Person Authorized to Act on Behalf of the Account: Date:
_______________________________________________ ________________
(sign by hand or type in your name)
Please email this form to CEAP-SB@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-SB or call us at 1-888-664-9376 for more details.
Hydro One will review this application and notify you whether your small business or
registered charity is eligible for CEAP-SB. 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.
Save Form
Print Form
Clear Form
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

COVID-19 Energy Assistance Program for Small Business (CEAP-SB) (Hydro One)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 23 July 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document