STEP A. Enter your monthly utility billings for the last 12 months or ask the utility for the total amount of your last 12 months of bills. If actual billings are unavailable (e.g., you are a new tenant), ask the company for estimates of bills for any missing months. When you are finished listing the amounts, add them all together to get the total (A).
Month/Year Billing
____/____
$__________
____/____
$__________
____/____
$__________
____/____
$__________
____/____
$__________
____/____
$__________
____/____
$__________
____/____
$__________
____/____
$__________
____/____
$__________
____/____
$__________
____/____
$__________
TOTAL =$__________ (A) (enter total in box below)
STEP B: Enter in (B) one of the following:
(1) enter expected energy assistance amount, or
(2) if no energy assistance is expected but a charitable payment (e.g. fuel bank) will be
made, enter amount of this payment, or
(3) if no energy assistance or charitable payment is expected, enter $0.
$__________ (B) (enter total in box below)
STEP C: Subtract (B) from (A) (enter
total in box below)
STEP D: Divide (C) by 12 (C ÷ 12 = D) (enter
total in box below)
STEP E:
If you HAVE a back utility bill:
Add an affordable amount to (D) that will go toward the back bill each month.
If you are in an arrearage forgiveness program (see above), this monthly amount may be
reduced if you cannot afford to make the payments. (enter this amount in (E) below)
-- OR --
If you do NOT have a back utility bill:
(enter $0 in (E) below)
STEP F: Add D + E (enter total in box below)
STEP G: Round off (F) to an easy-to-remember amount. This is the amount you should pay each month (enter in box below)
| UTILITY PAYMENT WORKSHEET SUMMARY | ||
| (A) | Total Utility Bills (from "A" above) | $ |
| (B) | Energy assistance etc (from "B" above) | $ |
| (C) | Subtract (B) from (A) (from "C" above) | $ |
| (D) | Divide (C) by 12 (from "D" above) | $ |
| (E) | Add amount toward back utility bills (from "E" above) | $ |
| (F) | Add D + E (from "F" above) | $ |
| (G) | Round off (F) to an easy-to-remember amount to get the amount you should pay every month. | $ |
Apply for energy assistance as soon as possible after November 1 of each year. When energy assistance is not available, apply for assistance from the local fuel bank. Contact Infoline (211) or the Energy Assistance Hot Line (1-800-842-1132) for information on when and where to apply.
Legal Assistance Resource Center of Connecticut. www.larcc.org May 2008