1. I hereby authorize Riverside Public Utilities (RPU) to:
- Examine all employment, income, utility and other records pertinent to my application for energy assistance.
- Make direct payment to my Riverside Public Utilities bill.
- Provide valid and recent documents supporting your claim
2. I certify that I amqualified for Emergency Recovery Utility Assistance.
3. I certify that I am solely or jointly responsible for payment of the utilities for this address.
4. I certify under penalty of perjury that all information herein is true and correct to the best of my knowledge and that I have read the Privacy Notification.