Customer Assistance Program (CAP)
Customer Assistance Program (CAP) Application

The Customer Assistance Program (CAP) is intended to support low-income, single-family homeowners with water and/or sewer accounts with the Commission. Eligible and approved customers can receive a one-time, annual account credit equal to 25% of your annual bill (up to $250), regardless of your account balance.  All customers are required to re-apply annually.

Please review all eligibility and application information before submitting your application. 

The following initial information will be identified for eligibility:

  • Property address and Commission account number
  • Account holder (must be the same as applicant)
  • Property type (must be an assessed single-family, owner-occupied)
  • Water/Sewer account status:
    • Account must be active
    • Customers are still eligible if account is in arrears or on a payment plan
    • Annual account charges will be reviewed to determine 25% credit, up to $250
  • Current fiscal year Low Income Heating Home Energy Assistance Program(LIHEAP) approval letter as proof of income eligibility

If the application meets the Commission’s initial eligibility criteria, Commission personnel will confirm the applicant’s income eligibility by reviewing the LIHEAP approval letter. Please note that an application will be considered incomplete if it does not include supporting documentation (a LIHEAP approval letter) at the time of submittal.

Certification and Signature

By completing and electronically signing the form below,

  • I certify that the information on this application, including attached income eligibility documentation, is truthful and correct.
  • I have read and understand the requirements of the Customer Assistance Program and agree to provide proof of income in order to participate.
  • I agree to notify the Springfield Water and Sewer Commission of any changes to my household or income that may affect my eligibility for assistance.
  • I authorize the Springfield Water and Sewer Commission to verify information provided on this application through third party sources.
  • I understand that fraudulent applications or unauthorized use of service will result in removal from the program and additional consequences (which may include back charges).
  • I understand that CAP credits are available on a first come, first served basis, and completion of this form does not guarantee I will receive a Customer Assistance Program credit.
  • I understand that I am required to pay my water and sewer bill regardless of whether or not I am approved for the Customer Assistance Program.



  • Max. file size: 50 MB.
    Click "Browse" to upload the LIHEAP approval letter.