Apply for the Bill Discount Program & Winter Shut Off Moratorium

Please complete the following form to begin the registration process. Once your application has been submitted, a PGH2O Cares Representative will contact you within 2 business days.

Information message

*Required Fields
Customer Information
*Service Address
Household Information
*Total Number of Occupants
*Number of Adults
*Number of Children
Income Information
*For each occupant with income, please provide a name or nickname (such as adult 1, child 1, and so on), relationship to the main customer, their monthly income amount, and their primary source of income. The account holder's full name is required.
*Relationship Type
*Primary Source of Income
Information Sharing
*Is it ok for PWSA to share your contact and/or income information with other utilities in an effort to cross enroll customers in all available assistance programs?
*Is it okay for PWSA to send you text messages and/or emails regarding updates to our Customer Assistance Programs and when it is time for you to recertify?
Outreach Feedback
*How did you hear about PWSA’s Customer Assistance Programs?
Lead Question
Are you interested in applying or receiving more information about PWSA’s Lead Service Line Replacement Reimbursement Program?
More information about the program is available at This program is free for income eligible customers.

Please note: This program is only available to customers who receive water services from PWSA. A map of our water service area is available at
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