Portland Plumbing Plus' Plumbing Assistance For No Income/Low Income Individuals

Free Service Application Form ▼

Portland Plumbing Plus offers free service to certain qualified No-Income/Low Income Individuals in Oregon and Washington. If approved, you could receive up to 100% of free service. Fill form below to apply.

*Free service does not cover parts/materials and must qualify as emergency indispensable repair. Only approved applicants living within our service areas will receive free service. Assistance amount is determined after review of your application.

Note: Please make sure that all fields marked with * are completed and that the security code is entered correctly before you send application form. If an error message is displayed, correct the error and resubmit your application


Fields marked with * are required.
 
 
 
 
 
 
 
 
Marital Status 
 
Current Household Income From all Sources 
 

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Service Needed 
 

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Please enter the following security code:
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Applicant's Certification and Agreement

In completing and sending this free service application, I hereby certify that all statements, answers and representations made in this application are true and accurate. I understand that any falsifications, omissions, misrepresentation and/or misstatements of information or facts shall be grounds for rejection of my application for a free service. I agree that I shall be liable to pay the cost of service in full including any interest that may have accrued, in the event that I received Portland Plumbing Plus' free service under any falsifications, omissions, misrepresentation and/or misstatements of information or facts.