Answer the Questions below to Apply Do you have a valid email address? Yes No A valid email address is required to apply, as all decisions regarding your application will be sent via email. Do you have proof of Social Security numbers for ALL members of your household?? Yes No Proof must be in the form of a Social Security Card or other documentation from the Social Security Administration. Please note that we cannot use Medicare cards or any other secondary documentation for SSNs. Are you a resident of Hamilton County and have proof of citizenship for all household members? Yes No You must provide one of the following valid and non-expired IDs:State issued ID’sBirth CertificatesPassportsMilitary ID’sVoter’s Registration Cards Do you have proof of all income for the past 30 days for ALL members of your household? Yes No This can included all of the following:Wages: Weekly Pay - Submit 4-5 check stubs. Bi-Weekly Pay - Submit 2-3 check stubs.Social Security/Disability (SSI): Submit the current year's award letter (showing net amount) OR a current bank statement showing the deposited amount.VA and Pension: Submit the current year's award letters, showing gross amount. (Year-end tax forms are NOT acceptable proof of income.)Self-Employment: Submit tax returns OR gross amounts after business costs (ledgers/receipts).Other Income (if applicable): Provide documentation for Child Support, Alimony, or Unemployment. If you are claiming Veteran Status you must provide the required documents. Agree You must provide a copy of one of the following:DD-214VA ID. If you live in Public Housing Housing you must provide the required documents. Agree You must provide a one-year rent ledger from your site office. Based on your answers, you may not qualify for LIHEAP assistance at this time. Your responses indicate that you selected one or more options that fall outside the eligibility requirements for this program. Please review the eligibility guidelines carefully before reapplying. If your situation changes, you may reapply during the next intake period. Access the LIHEAP application. Answer all the questions above to access the application.