This survey is intended to provide IHCDA insight into the need for water/wastewater bill assistance in your area. The assistance will come from federal funds and will be awarded through the forthcoming IHCDA Low Income Water Assistance Program. The funds are intended to get those families who fell behind on their water/wastewater bills during the pandemic back up to current to avoid service disconnection.

This information will aid IHCDA as we structure the program and policy to get these funds to families in need.

Thank you in advance for taking the time to complete this survey!

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* 1. On average, how much is your monthly household water/wastewater bill (if separate, please add water & wastewater together)

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* 2. What is the most you have owed for water/wastewater at one time (including any fees or arrearages)?

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* 3. How likely are you to share information about a program that would help households below 60% of the State's median income to catch up on their water bills?

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* 4. What is the name of your water/wastewater supplier(s)?

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* 5. How strong is the financial need for water/wastewater assistance in your community?

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* 6. Are you affiliated with a water/wastewater vendor or a relevant regulatory/oversight authority?

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* 7. If 'Yes" to the above question, please provide contact information below

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