Catholic Charities Stillwater

Located at

Our Daily Bread Food & Resource Center
701 East 12th Ave.
Stillwater, OK 74074

Services are provided by appointment only. Please fill out the application below to be considered for assistance.

Emergency Utility Assistance Program Eligibility

The Emergency Utility Assistance Program offers compassionate assistance to households facing financial hardship, helping meet immediate utility needs while connecting families with resources and support that can foster greater stability and resilience. All applicants are treated with dignity, respect, and care. Assistance is provided based on documented need, program eligibility requirements, and available resources.

To be eligible, applicants must:

• Reside within Payne County
• Be the account holder or provide documentation demonstrating responsibility for the utility bill
• Demonstrate a current financial hardship or emergency circumstance that has resulted in an inability to pay utility costs
• Provide a current utility bill, disconnect notice, or documentation showing past-due status
• Provide ID and proof of household income
• Agree to fill out a simple budget and receive financial coaching, when appropriate

What to know before you apply

• Funding is limited and assistance is not guaranteed
• Be ready to upload documentation of your financial need
• Applications are processed in the order received and based on eligibility and available funding
• Online applications will close once we’ve reached our capacity for that week
• Please check this site for updates, as the online form availability is subject to change
• Assistance is available once per year

Non-discrimination Statement

Services are provided without regard to race, color, national origin, religion, sex, age, disability, or any other protected status. The organization is committed to treating all applicants with dignity, respect, and fairness.

Application for Utility Assistance – Payne County

Full Name(Required)

First Last

Date of Birth(Required)

Phone(Required)

Second Phone

Please list a second phone number where you can be reached.

Email(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Last 4 digits of Social Security Number(Required)

Primary Spoken Language(Required)

English

Spanish

Other

Household Composition(Required)

Please list the name, relationship and date of birth of each person living in the household. Click the plus sign to add an additional person.

Name (list head of household first)

Relationship to Head of Household

Date of Birth

Please briefly describe the unforeseen hardship you are experiencing and how it has affected your ability to pay your utility bill.(Required)

Please provide the following information about the utility bill for which you are requesting assistance.(Required)

Electric

Natural Gas

Water

Other

Utility Company/Provider(Required)

Total Amount Due(Required)

Amount shown on the utility bill

Submit Documents

To ensure a smooth and efficient appointment, please upload your utility bill and any other relevant supporting documents in advance. This is optional, but preferred.

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 30 MB, Max. files: 5.

Client Signature(Required)

Full Legal Name

Date

Other services information:

CATHOLIC CHARITIES STILLWATER

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