Failure to provide all required documentation will delay your assistance.  We require the following documents:

• Please submit the following documents with your application (photocopies are acceptable):
  • 1. Photo ID for the person completing and signing the application.
  • 2. Proof of SSN for each member of the household. This may be:
    1. Copy of Social Security card.
    2. Copy of a valid U.S. passport.
    3. Copy of a valid state-issued REAL ID.
    4. Copy of a pre-printed federal form, such as correspondence from the Social Security Administration or a W-2, that contains the person's name and full, unredacted SSN.
  • 3. Current documentation of income for all household members age 18 or over. This may include:
    • Employment/wages
      Most recent paystub
          Request for Earnings information form - contact Local Service Provider
    • Social Security/SSI/VA benefits
      Most recent complete award letter (may be downloaded from online)
          Complete bank statement
    • Pension/retirement
      Award letter
          Self-Employment
    • Self-Employment
          Most recent Form 1040 tax return, with all appropriate self-employment schedules
    • Unemployment Benefits
      Completed release of information form for DWD
          Full print-out of your most current Uplink statement
    • Alimony/spousal support/Worker?s Compensation/Private disability
          Any documentation of payments received
    • Odd Jobs/irregular income/No Income
      Award letter
          Self-Employment
    • Pension/retirement
          Completed Income Verification form ? contact Local Service Provider
    • If you have any questions about acceptable documentation, contact your local service provider.
  • 4. Current, complete bills for your electric and heating utilities.
    • If you heat with bulk deliverable fuel, provide most recent delivery receipt.
    • If utilities are included in your rent, please provide completed Landlord Affidavit.
    • Please ensure you are providing the full and complete billing statement!
    • Depending on household circumstances, additional documentation may be required. Please contact your local service provider with any additional questions.

Please note after reviewing your documents we may request additional information to complete your application.