WRAP - Ecorse Municipality Referral Form 2022-UA

Please complete this form on behalf of an Ecorse resident. A member of the WM team will contact the client to complete the universal application for utility assistance. Document uploads will assist in completing the application.                                                                                                                                      
If the applicant would like to complete the online application, please provide this link to them: waynemetro.org/apply

Documents required for assistance:
- ID for all household members 18 years of age or older
- Current 30-days proof of Income for all household members 18 years of age or older (paystubs, federal/state benefit award notices, child support documents, retirement/pension income notice, VA benefits award notice). Bank statements or screenshots of statements are not verification of income 
- Current Water bill (bill must say Occupant, Tenant, Resident or be in applicant's name/Utility bill
- Lease stating applicant is responsible for the water (renters)
- Mortgage or Deed showing ownership if homeowner

We can be reached at:

Applicant Information

Utility Information Upload

Income Document Upload - Please upload 30-days of current proof of income (paystubs, federal/state benefit notices)

Client Living Situation

Please click Submit below to complete your form referral.