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Public Utilities Commission Supplemental Assistance Program Application

Supplemental Assistance Program Application

This form is available as a PDF form or a Microsoft Word form. If you use the free version of Adobe Acrobat Reader to fill out the PDF version, you will not be able to save the information you input to the form. Please print a copy for your own records.

Supplemental Assistance Program Application (pdf) (word)

The Public Utilities Commission of Ohio
180 E. Broad St., Columbus, OH 43215
Ted Strickland, Governor • Alan R. Schriber, Chairman
An Equal Opportunity Employer and Service Provider
(800) 686-PUCO (7826) - (800) 686-1570 (TTY-TDD)
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