Necessary Documentation to Apply for Energy Assistance

ALL INCOME FOR ALL HOUSEHOLD MEMBERS

• LAST 4 PAY STUBS (INCLUDING NON-STUDENTS OVER 18)
• DSS INCOME – PAPER WORK FROM MANCHESTER 
• SOCIAL SECURITY – COPY OF RECENT CHECK OR BANK STATEMENT IF DIRECT DEP. 
• PENSIONS / ANNUITIES – COPY OF RECENT CHECK OR STATEMENT 
• VETERAN’S INCOME – COPY OF RECENT CHECK OR AWARD LETTER 
• WORKER’S COMP – STATEMENT SHOWING BENEFIT AND PERIOD COVERED 
• UNEMPLOYMENT – STAMPED FORM (PROVIDED) OR PRINTOUT (NO CHECKS)
• SELF EMPLOYMENT – COMPLETED FORM (PROVIDED) COVERING 6 MONTHS 
• RENTAL INCOME – RENT STUBS OR LEASE 
• CHILD SUPPORT/ALIMONY – DIVORCE DECREE OR LETTER FROM ATTORNEY 
• REAL ESTATE AGENTS – WORKSHEET FROM CO. COVERING 6 MOS-1 YEAR
• MONEY FROM FRIENDS – NOTARIZED STATEMENT STATING AMOUNT RECEIVED
• ZERO INCOME – NOTARIZED STATEMENT (PROVIDED) CLAIMING ZERO INCOME
  
  ASSETS
• YOU MUST SUPPLY ALL APPLICABLE DOCUMENTATION FOR ANYTHING THAT CAN BE TURNED INTO CASH. INCLUDES – BANK ACCOUNTS, CD’S, STOCKS, BONDS, IRA’S IF OVER AGE 59 ½, 401K PLANS, ETC.
  
  OTHER DOCUMENTATION – ALL CLIENTS
• IF YOU RENT, A RECENT RENT RECEIPT OR LEASE IS REQUIRED. IF YOU ARE ON SECTION 8, A HOUSING CERTIFICATE IS REQUIRED. IF YOUR HEAT IS INCLUDED IN THE RENT, A LEASE IS REQUIRED. IF YOU OWN AND HAVE A MORTGAGE PROOF OF MORTGAGE IS REQUIRED
• LAST GAS BILL                  * FOOD STAMP CARD
• LAST ELECTRIC BILL       * DSS ENERGY APPLIC. IF RECEIVED IN MAIL
  
  NEW CLIENTS ONLY
• BIRTH CERTIFICATES FOR ALL HOUSEHOLD MEMBERS
• SOCIAL SECURITY CARDS FOR ALL HOUSEHOLD MEMBERS.