Customer Assistance Program (CAP) Application

Thank you for applying to the Customer Assistance Program.

 Please note prior to completing an application as the application process has recently changed:

Please be aware that the application process has recently changed.

Supporting documents are no longer uploaded through the online application form. After submitting your application, you will receive a confirmation email containing your Application/Confirmation ID and instructions on how to submit your supporting documents by replying to that email.

To avoid delays, please follow the instructions in the confirmation email carefully so your documents can be properly matched to your application.

CAP Online Application – Instructions:

  1. Before starting the CAP online application, click this link and review the requirements on page 2 to ensure your application is completed correctly.

  2. After reviewing the application, gather all required documents so you are prepared to complete the form.

  3. Complete Steps 1-4 of the online application and click SUBMIT in Step 4. 

  4. Please note that supporting documents are not uploaded through this online form. After submitting your application, you will receive a confirmation email containing your Application/Confirmation ID and instructions on how to submit your supporting documents. Please follow the instructions in the confirmation email carefully. 

  5. Once your application is submitted, you will receive a confirmation email. The email will not provide a copy of your application. Please keep a copy of your submitted documents for your records.

  6. Please allow 5 business days for processing. You will receive a response in the U.S. mail regarding your CAP application status.

If you have questions, please email cap@ebmud.com or call 510-287-0468. Our business hours are 8 a.m. to 4:30 p.m., Monday through Friday.

Step 1 of 4 - Customer Information

Step 2 of 4 - Household and Income Information

Household Income Information
You must report all income sources for each person who resides in this household. Check all income sources below that household members receive and attach documentation for each income source.
Household Income Sources (Please ensure documents are all recent sources of income) *

Step 3 of 4 - Support Document

Please note that supporting documents are not uploaded through this online form. After submitting your application, you will receive a confirmation email containing your Application/Confirmation ID and instructions on how to submit your supporting documents. Please follow the instructions in the confirmation email carefully.

Step 4 of 4 - Declaration and Application Checklist

Declaration (Please read, check the box to acknowledge the terms) *
Survey
How did you hear about EBMUD's Customer Assistance Program?