Per requirements set forth by the Virginia General Assembly, Dominion Energy is prohibited from disconnecting your power through February 28, 2022 if you received services any time between January 1, 2019 and July 31, 2021 through the following programs:
- Supplemental Nutrition Assistance Program (SNAP)
- Temporary Assistance for Needy Families (TANF)
- or Virginia Women, Infants, and Children Program (WIC)
In order to alert Dominion Energy to your qualification for a pause on service disconnection through February 28, 2022, you will need to fill out a consent form that allows the Virginia Department of Social Services (VDSS) to notify Dominion Energy that you receive a qualifying service.
Click here to download, print and complete the consent form (also available in Spanish). Please send signed and completed forms to the address on the bottom of the form as soon as possible.
If you cannot download the form, please call VDSS at 1-833-829-2767.
Please do not contact your local department of social services about the consent form.