State Energy Assistance & Lifeline
Congratulations! You have reached the page that contains a link to the HEAT applications. BUT WAIT....
You can't go on to the applications until you first read the following instructions. The application links will then be at the bottom of this page. You want your application to get approved don't you? Well, in order for your application to be considered for approval, you must meet the eligibility requirements of the HEAT program (see Eligibility on the left) and follow the instructions below.
INSTRUCTIONS
Important Notices
- If your utilities are shut off or subject to shut off, call your local HEAT office immediately, and do not submit a mail-in application.
- Submittal of HEAT application does not guarantee approval.
- Applications may take up to six weeks to process; therefore, it is important to continue to pay your utility bills.
- Sign and date the application. Print and keep a copy for your records.
- Use appropriate postage, and mail to the correct address for your county listed on the link below.
- Respond promptly to requests to provide missing or additional documentation (see list below).
- Failure to provide necessary documentation will result in denial.
- You will be notified by mail when your application is approved and what the benefit amount will be.
- Denial notifications will also be mailed with an explanation of reason for denial.
NECESSARY DOCUMENTATION:
Household Verifications
- Copy of your picture identification.
- Copies of all Social Security cards for everyone living in your home, including children.
- Copies of US Citizenship & Immigration Services (USCIS) documents showing legal U.S. residency.
Acceptable USCIS documents.
Income and Income Deductions Verifications
- Copies of the proof(s) of income received in the previous month by all household members. (Check stubs, Social Security, Retirement, Child Support, Alimony, etc.)
- Self employment 1040 tax record or complete this form Self Employment Worksheet
- If anyone in your household is a college student receiving financial aid, include a copy of each one you are receiving. Some examples of financial aid are:loans, grants, scholarships, stipends, assistantships, fellowships, veterans’ benefits for schooling, workstudy any other types of school financial aid. (most types are not counted as income).
- If you are claiming zero income, you must complete this form: Zero Income Form
- Copies of proofs of any medical expenses that were paid in the previous month; including health insurance premiums, co-pays, receipts for paid medicine, eyeglasses, dental, and over-the-counter medications.
- Proof of any child support or alimony paid the previous month, if applicable.
Alimony and/or Child Support Form
Energy Burden Verifications
- Copies of your most recent Gas and Electric utility bills. (If for some reason these bills are not in your name, tell us who the person on the bill is and why it is in their name.)
- If you do not pay for energy costs directly, please provide a landlord’s statement or other verification stating that part of your rent goes toward paying utilities. Landlord Statement Form
Target Groups Verifications
Additional money can be given if you have a person over 60 years old, anyone who is disabled, or a child five and under living in your household.
- Copy of the birth certificate or other documents for proof of a child five years old or younger, if in the home.
- Age 60 or older can be verified by date of birth.
- Proof of a disability, if applicable.
Medical Disability Form
Additional Documentation May Be Required
- Remember to Leave a phone number where you can be reached so we can call if we have questions or you need other documents.
- I Have read and understand these instructions.
- You must enclose all appropriate verifications, and mail to: Where to mail you HEAT application
Connect to HEAT Application Now
There are 2 types of HEAT applications: Choose the one that suits your needs best.
Interactive HEAT Application You can type directly on this application, (helps us read it better) and it calculates income and deductions. After completing the application, print it, make sure you sign and date it and KEEP A COPY for your records. Then mail the application and all related documents to the HEAT office in the county where you live.
2011-2012 HEAT Application (Printable)
You can print this off, fill it out by hand, make sure you sign and date it and KEEP A COPY for your records. Then mail the application and all related documents to the HEAT office in the county where you live.