Project Care

To apply for assistance from Project Care, please fill out the application and follow the instructions for submittal. If you have questions regarding Project Care or would like a paper application mailed to you, please contact a Member Solutions representative at 1-800-698-2007.

Please review the Application Guidelines before applying for assistance.

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First and Last Name(Required)

NHEC Account Number(Required)

Service Address(Required)

City, State, Zip Code(Required)

Phone Number & Email Address(Required)

List all People Living at the Address Referenced Above(Required)

Name

Age

Weekly Income

Please tell the Board why you are having trouble paying your electric bill (be specific).(Required)

If there are adults living in the home with no income, please explain why.(Required)

Tell us what other agencies you have received or applied to for assistance.(Required)

Agency Name

Date Applied

Did you receive assistance?

If yes, how much?

Agency Referral (Applications with no referral are not eligible for assistance)(Required)

Yes

Have you received a referral from a social service agency or town welfare office you accompany your application today?

File Upload

Max. file size: 16 MB.

If you have your referral please upload it here.

Digital Signature(Required)

First Last

Date

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