HomeMy WebLinkAbout10.b EDB Affidavit of Federal Government Employment and Income Interruption EXECUTIVE SUMMARY
AGENDA ITEM:
Temporary Water Bill Penalty and Service Disconnection Exemption Policy Due to Government Shutdown
Date: October 21,2025
BACKGROUND:
Staff recently began receiving calls from customers who have been furloughed due to the federal government shut
down. All the customers expressed concern about their ability to pay the CCUA utility bill given the uncertainty
when they might return to work and get paid. In response to the customer concerns and the ongoing federal
government shutdown, staff proposes implementing a temporary exemption policy to assist customers directly
impacted by the suspension of federal government operations. This proposed policy provides financial relief from
penalties and service protection for qualifying customers unable to make timely bill payments due to the temporary
loss of income.
Proposed Policy:
Eligible customers—defined as individuals employed by the federal government who are currently not receiving
pay due to the shutdown—may apply for:
• A temporary waiver of late payment penalties, and
• A temporary exemption from water service disconnection due to non-payment.
• A flexible payment plan to bring accounts current once the shutdown ends.
Eligibility Requirements:
To qualify, customers must submit the following:
1. A signed affidavit affirming their current employment with the federal government and loss of income due
to the shutdown.
2. Proof of federal employment, such as a recent pay stub, federal employee ID, or other acceptable
verification documents.
3. Federal agencies will automatically be exempt.
Application Process:
Customers may submit applications through the Customer Service Department by email, mail, or in-person at the
office. Staff will review and verify eligibility documentation within five(5)business days of receipt.
Duration:
This exemption will be available for the duration of the federal government shutdown and will include a reasonable
grace period following the reopening of government operations to allow impacted customers time to recover
financially and bring their accounts to current.
Impact and Justification:
This policy aligns with our commitment to maintain essential services while supporting the community during times
of crisis.
The temporary waiver may result in a short-term delay in collections; however, repayment plans will ensure
recovery of outstanding balances once the shutdown concludes. The overall fiscal impact is expected to be minimal
and temporary.
REQUEST:
Staff respectfully request the Board of Supervisors' approval to implement this temporary exemption policy,
effective immediately and continuing through the duration of the federal government shutdown.
ATTACHMENTS:
Affidavit of Federal Government Employment and Income Interruption
AFFIDAVIT OF FEDERAL GOVERNMENT EMPLOYMENT AND INCOME INTERRUPTION
Customer Name:
Service Address:
Account Number:
Phone Number:
Email Address:
Purpose
This affidavit is submitted to request temporary relief under the Temporary Water Bill
Penalty and Service Disconnection Exemption Policy for federal government employees
affected by the current federal government shutdown.
Affidavit Statement
I, (print name),hereby affirm and attest to the following:
1. I am currently employed by the United States Federal Government and/or represent a
federal agency.
2. My regular income has been suspended or reduced as a direct result of the ongoing
federal government shutdown.
3. I am experiencing temporary financial hardship due to this lapse in income.
4. I am requesting relief in accordance with the utility's temporary exemption policy,which
may include:
-Waiver of late payment penalties,
- Exemption from water service disconnection,and
-A flexible payment plan upon the resumption of government operations.
5. I understand that this exemption is temporary and agree to make arrangements to bring
my account current once regular pay resumes.
Verification of Eligibility Status
Please attach one of the following as proof of federal employment (check one and include
copy):
❑ Federal employee ID badge
❑ Recent pay stub
❑ Official correspondence verifying employment status
❑ Other approved verification document:
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Note:Submission of this affidavit and verification documents does not guarantee approval.All applications are subject
to eligibility review by staff.
Customer Certification:
I certify under penalty of perjury that the information provided in this affidavit is true and
accurate to the best of my knowledge.
Signature:
Date:
Printed Name:
Subscribed and sworn to before me,a person authorized by law to administer oaths,by
means of physical presence,this day of ,20_,at
(Signature of Person Administering Oath/Notary)
(Printed Name of Person Administering Oath/Notary)
(Notary Seal)
For CCUA Office Use Only
Received by:
Date Received:
Reviewed by:
Approved: ❑ Yes ❑ No
Date of Approval:
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