Skip to Main Content
Durham under State of Emergency and indoor mask requirement
Durham One Call
Click or call 919-560-1200
Connect & Engage
If you are looking for Inspections Forms, CLICK HERE.
Select a Category
7 Stars Give Campaign
Boards, Committees & Commissions
Budget & Management Services
City Manager's Office
Durham Emergency Communications Center
Economic & Workforce Development
Equity & Inclusion Department
Click Here For Inspections Application Forms
Neighborhood Improvement Services
Office of Public Affairs
Office of the Mayor
Parks & Recreation Department
Public Works Engineering Forms
Public Works Stormwater and GIS Forms
Public Works Street Maintenance Forms
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sign in to Save Progress
Water Hardship Fund
This form has been modified since it was saved. Please review all fields before submitting.
City of Durham - Water Hardship Fund
Are you are struggling to pay your water bill? The City would like to help through the Water Hardship Fund. The Fund is part of a program administered by the Durham County Department of Social Services to help residents pay their past-due water bills. It cannot be used for penalties and fees. Through a simple online process, you can apply for up to $240 in assistance per year if you are having a documented hardship, have past-due bills, and are in danger of having your water cut off. If you think you might qualify, please complete the Water Hardship Fund application form. If contacted, you may be asked to provide identification, proof of income, a copy of your water bill, and other information.
Name on Water Bill:
Address on Water Bill:
Account Number on Water Bill:
Primary Phone Number:
Is this hardship related to the COVID-19 pandemic?
What is causing the hardship you are currently experiencing? (Select all that apply.)
Unexpected high bill due to a leak
Unemployment / Job loss
Personal or Family illness
Unexpected / Emergency Expenses
Is the hardship temporary or ongoing?
-- Select One --
This is a temporary hardship
This is an ongoing hardship
This is a permanent hardship
What is your current water status?
Past Due and in Jeopardy of being turned off
What is your current balance due?
Internal Use Only
Form Initiated By:
-- Select One --
Department of Social Services
Water Management Department
Leave This Blank:
Receive an email copy of this form.
This field is not part of the form submission.
* indicates a required field
News Release Archive
Trash / Recycle
Government Websites by
Slideshow Left Arrow
Slideshow Right Arrow