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Black Hills Energy Utility Assistance Fund

PLEASE NOTE: You do not have to be a member business of the Latino Chamber of Commerce to apply for funds. If your business is currently facing a disconnect, please immediately call Ada Holguin at (605) 877-5032. Once you have contacted Ada, please immediately complete the form below. Limited funds are available.

Below are all the fields and documents required for ALL businesses seeking Utility Assistance through the Business Utility Assistance Program. These funds are available through a contribution by Black Hills Energy and are being distributed by the Latino Chamber of Commerce. This checklist outlines all documents that are required for consideration of assistance. Documents must all be submitted to the Latino Chamber of Commerce by the applicant. The Latino Chamber of Commerce is not responsible for acquiring any documents on behalf of the applicant.

Please call us if you have questions and would like assistance with your situation. Qualified applicants should be a small business (who is a Black Hills Energy electric customer) with a balance of at least $500 and who can demonstrate lost revenue during the past year. Types of businesses can include restaurants, bars, hair salons, nail salons, gyms, retail, auto shops, churches, etc.

To comply with program guidelines, applicant must submit the following to the Latino Chamber of Commerce:

 Self Certification and/or proof of loss of income due to COVID-19
 Copy of entire utility bill (remittance statements alone will not be accepted)
 Consent to disclose utility customer data form (Copy and paste this link in your internet browser: http://bit.ly/bheWaiver)

A customer must have an outstanding balance of at least $500, and can request a maximum of $1,500 of one time assistance through this program applied to their Black Hills Energy account. The amount a customer receives shall not create a credit on an account.

Applications are to be submitted via this form to the Latino Chamber of Commerce.

For any questions or concerns regarding this application and required documents, please contact Dynelle Abeyta at 719-542-5513 or at dynelle@pueblolatinochamber.com
This can be found on your utility bill. PLEASE NOTE: these relief funds are for eligible electric customers only!
Primary Contact
Service Address
Please provide business address for the location receiving service from Black Hills.
Please note: your past due amount must be a minimum of $500. A maximum amount of $1,500 can be requested.
Which of the following apply to your situation and are reasons for your request of support:
Were you facing a disconnect notice prior to completing this application? *
Have you received PPP Funds? *
Please submit a copy of your most recent utility bill for electric service from Black Hills Energy.
Please submit documentation that demonstrates your loss in revenue, resulting in your inability to meet your utility bill obligations. (i.e. 2020 January Bank Statements vs. 2021 January Bank Statements, year over year revenue statements or profit and loss, etc.)
Please be sure to sign the Consent to Disclose form. (Copy and paste this link in your internet browser to access the document: http://bit.ly/bheWaiver)This document must be signed and submitted for your application to be complete.
How did you hear about the Utility Assistance Fund? *
Disclaimer
By submitting this form, you understand that this does not guarantee funding, as funds are limited and applications are being reviewed on a first come, first serve basis. By summitting this form, you also agree to be contacted by a representative from Black Hills Energy who can share with you more about programs and resources that could assist your business with energy savings measures long term.

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