Customer Service Form

Residential:  Affordability Discount Program (ADP) Online Form

Are you 60 years of age or older?  You may qualify for additional savings.

 

Household Questions

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 New application
 Renewal application
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 $0 - $1,265
 $1,266 - $1,715
 $1,716 - $2,165
 $2,166 - $2,615
 $2,616 - $3,065
 $3,066 - $3,515
 $3,516 - $3,965
 $3,966 - $4,415
 More than $4,416
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Additional Requirement:  The Household / Family...

(Must select at least one item below.) *

 Has individuals 60 years of age or older
 Has individuals with Disabilities
 Has pre-school children in school (18 years or younger)
 Uses life-sustaining medical equipment
 Has extenuating circumstances as identified by CPS Energy or the City of San Antonio
 

Casa Verde

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 I live in a single-family house; please enroll me in the Free Casa Verde program if I qualify. (CPS Energy will call you if you qualify, to complete the Casa Verde enrollment process.)
 No, I'm not interested

Account Information

 
10-digit number that starts with 300
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Ex: 2105551234
 
Ex: Name@yourprovider.com
 

Penalties for Fraud: 

Whoever obtains or attempts to obtain program enrollment for which he or she is not entitled, by means of willful false statements or other fraudulent means, may be considered guilty of a criminal offense and upon conviction may be fined and/or imprisoned.

 

By Clicking Submit:  (Please check the boxes)

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 I certify that the information for the income of all household members 18 years and older is true and correct to the best of my knowledge and belief. I understand that the information will be verified to the extent possible; and that I may be subject to prosecution for providing false or fraudulent information.
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 I have read and acknowledge the general eligibility requirements to participate in the Affordability Discount Program. I understand that submitting this application does not automatically enroll me in the Affordability Discount Program, and that the information I have submitted must be verified and approved prior to enrollment.

Enter Electronic Signature

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