FAX (508) 548-3592

Fuel Assistance Document List 2016/2017

Your appointment is scheduled for: ______.

**Very important: Please call us at (508) 548-2794 if you cannot come to your appointment.**

We are often booked 3 weeks out for appointments.

Please Note: The Head of Household must be at your appointment.

Head of Household: The person who has the majority of bills in their name.***

Bring with you all of the following documents:

Item /

Document

/

Specifics

1 / Proof of Citizenship/Qualified Alien / Social Security cards for all members of your household.If you don’t have a Soc. Sec. card: bring a birth certificate, valid U.S. Passport, Certificate of Naturalization (N-550 or N-570), Certificate of Birth Abroad of US citizen (Form FS-240 or Form FS-545)
Qualified Alien documentation: Alien registration card, aka “Green Card” (Form I-551), Unexpired Temporary I551 stamp in foreign passport, INS Form I-94, Employment Authorization Card (INS Form I-688B), or Employment Authorization Document (INS Form I-766)
2 / Utility Bills / All current utility bills with your service address and account numbers on them. You must submit a copy of your primary heating bill. If it is a delivered fuel, please submit a copy of the delivery slip or an invoice from the vendor.
3 / Income / All working members over 18 years of age in your household must have the last 4 consecutive weeks (or 2 consecutive bi-wkly) of pay stubs. If you have received unemployment, an official documentation of that income must be provided. (e.g. DUA check stubs, DUA printout with wage information)
4 / Other Income / Most recent copies of your Social Security check or copy of award letter, worker’s compensation, child support, alimony and/or TAFDC or other types of Social Security income must be documented with a print out of your benefits. (i.e., Copy of the check: SSA, SSI, EAEDC, TAFDC only) or copy of a benefit check stub (i.e.: retirement/pension, veteran’s benefits – must show gross amount) **Note: Bank statements are not allowed. (Log onto Soc. Security to access benefit verification: )
5 / Child Support / If you are a single parent with custody of your child, bring whatever proof you have of child support you receive. (e.g.: Copies of cancelled checks, court order, notarized letter from support source, etc.)
6 / Housing Assistance / If you receive Housing Assistance, bring your lease or a statement from the housing office. If heat is included in your rent, bring your lease.
7 / Renters / If you rent, you must bring the name, address and phone number of your landlord. It has to be included on the application.
8 / Home Owners / If you own your own home and pay a mortgage, bring in evidence of your monthly amounts for principal, interest, taxes, and insurance.
9 / Special Rent/Utility Information / **If your rent and utilities are more than your income, your application will be denied unless you have proof that someone is helping you with your bills. We have a special form to use for this situation.

If you have any other questions, please be sure to call prior to your appointment and ask to speak with one of our fuel assistance specialists. It is better to bring more than you need. We will help you sift through all of the appropriate documentation.