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2017-2018 Energy Assistance Program
Hoosier Uplands will once again be offering assistance with winter heating bills for income eligible residents of Lawrence, Orange, Martin and Washington Counties. Services are provided without regard to race, color, religion, sex, disability, national origin, ancestry, or status as a veteran. Applications for the heating portion of the program will be taken from November through May funding permitting.
Income Guidelines for 2017-2018
| Size | One Month
| Three Months
| | 1 | $1,508.00 | $4,523.00 | | 2 | $2,030.00 | $6,090.00 | | 3 | $2,553.00 | $7,658.00 | | 4 | $3,075.00 | $9,225.00 | | 5 | $3,598.00 | $10,793.00 | | 6 | $4,120.00 | $12,360.00 | | 7 | $4,643.00 | $13,928.00 | | 8 | $5,165.00 | $15,495.00 |
To apply for Energy Assistance you will need: - Proof of Income for all members of the household that are 18 years of age or older, this includes college students.
- Do you or anyone in your home receive Social Security, SSI or VA benefit?
- Bank Statement showing Social Security, SSI, VA, or Retirement Deposit.
- Benefit Letter from Social Security, SSI, VA, or Retirement.
- Employed?
- Last check stub* with gross year-to-date information.
- W-2's can be used as proof of income from January 1st to April 15th of 2018.
- Self Employed?
- Current Taxes (1040, Schedule C, 1099 and any W-2's)
- Do you receive child support?
- Please complete release of information form and sign zero income form.
- Unemployment?
- Did anyone in your household receive unemployment during the last 12 months?
- They must sign a release of information form.
- No income?
- Zero income form (If you haven't had any income for the past 12 months, you must complete this form). See Attached
- Work One wage detail (We can request this for you! We will need your signature on a release of information form). See attached
- Homeowners: Proof of ownership: We need a copy of your homeowners insurance, property tax statement or mortgage statement, deed or title.
- Electric bill: We need a copy of your bill showing your account number, service address and billing name.
- Gas bill: We need your bill to show your account number, service address and billing name.
- Landlord Affidavit: All renters must have this form completed and signed by their landlord. See attached
- Social Security Cards: We must have a copy on file for all members of the household.
- Birthdates: For all members of the household (we do not need birth certificates).
- Photo ID
- Veterans: DD-214, military card, and separation papers.
Please check below our New Office Hours before calling to schedule an appointment. Main Office521 West Main Street Mitchell, IN 47446 Phone: 812-849-4457 or Toll Free: 800-333-2451 Fax: 812-849-4467 Monday-Friday - Hours: 8:00 to 5:00
Bedford Office 710 6th Street Bedford, IN 47421 Phone: 812-279-0412 Fax: 812-279-1891 Monday-Thursday - Hours: 8:30 to 5:00 (Energy Assistance Office is closed on Friday)
Martin County Office P.O. Box 716 (Federal Building located at 2nd & Main) Shoals, IN 47581 Phone: 812-247-3303 Fax: 812-247-2009 Monday-Wednesday-Friday - Hours: 8:00 to 4:30 (Energy Assistance Office is closed Tuesday and Thursday)
Orange County Office 200 West Court Street, Suite 3 Paoli, IN 47454 Phone: 812-723-4607 Fax: 812-723-3496 Monday-Tuesday-Thursday-Friday - Hours: 8:00 to 4:30 (Energy Assistance Office is closed Wednesday)
Washington County 902 Aspen Drive Salem, IN 47167 Phone: 812-883-5368 or Toll Free: 800-487-8890 Fax: 812-883-8085 Tuesday-Wednesday-Thursday - Hours: 8:00 to 4:30 (Energy Assistance Office closed Monday and Friday)
Persons with speech/hearing disabilities please call Frontier's TRS at (800) 743-3333.
Appointments are first call/first schedule basis as long as funding permits.
Department Links:
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