Professional Documents
Culture Documents
Access Controller
Access Controller
Program Information
Programs Cooling Assistance
Basic Information
Applicant Details
First Name Angela
Last Name Ramey
Middle Initial M
Suffix
Date of Birth 02/17/1968
Preferred Spoken Language English
Preferred Reading Language English
Gender Female
City/County Washington County
Is the Person a Resident of Virginia?
Marital Status Separated
Do you require any special accommodation?
Physical Address
Address Line 1 8458 Loretta Lane
Address Line 2 I do not have a mailbox at physical address
City Bristol
State Virginia
Zip Code 24202
Is this physical address for a nursing, medical, correctional, or No
assisted living facility?
Mailing Address
Address Line 1 PO Box 992
Address Line 2
City Bristol
State Virginia
Zip Code 24203
Living Arrangement
Living Arrangement Type Private Residence
Contact Information
Home Phone (423) 251-0512
Work Phone
Work Phone Extension
Cell/Message Phone (423) 251-0512
Cooling Assistance
Statement that best describes your present living situation Homeowner, pays cooling bills
Cooling Need Purchase/install window air conditioner, Payment of electric bill
Types of cooling equipment in your home and working condition
Equipment Is this equipment in working condition?
Attic fan Yes
Central air conditioner unit Yes
Ceiling fan Yes
Heat pump Yes
Portable fan Yes
Whole house fan Yes
Person who owns or is responsible for cooling equipment Angela Ramey
Does your household have an electricity disconnection notice? No
Is your household's electricity service off/disconnected? No
What is the current status of your household's cooling equipment? Working Properly
Did anyone in your household receive Cooling Assistance during No
the last 12 months?
Has this person applied for help from other sources? No
Person/Agency providing help with the payment
Does the Household have a Heating Expense? Yes
Fuel used most frequently to heat your home Electricity
Select the heating equipment most frequently used to heat your Heat Pump
home:
Select the name of the company used for your primary heating Other
needs. If you do not see your heating company listed here, select
"Other".
Select the Account Name on your heating bill: Angela Ramey
If you selected "Other" as the name on your heating bill, please
enter the name of the individiual here:
First Name
Middle Name
Last Name
Enter the Account Number on your heating bill 215395-018889
Provider Details
Billing Account Information
Name on the Bill Angela Ramey
Service Address on the Bill PO box 992 Bristol, Virginia, 24203
Person Responsible for the Bill Angela Ramey
Service Provider Details
Name of Utility Company BVU
Company Address Po box 8100 Bristol, Virginia, 24203
Phone Number (276) 669-4112
Account Number on the Bill Angela Ramey
Is the utility bill automatically withdrawn monthly from your account No
or is a debit/credit payment made monthly?
THANKS
ANGELA M RAMEY