Looking for a Hcd Forms And Templates? Download it for free!

INSTRUCTIONS FOR COMPLETING 2017-2018 INDIANA HOUSING & COMMUNITY DEVELOPMENT AUTHORITY

ENERGY PROGRAMS APPLICATION

These instructions help you complete your 2017-2018 Indiana Energy Programs Application. The application is used to

apply for the Energy Assistance Program (EAP) and Weatherization Assistance Program (WAP). The Indiana Energy

Programs Application is available in online at eap.IHCDA.in.gov. ANY missing information may delay decisions regarding

your eligibility and benefit amount. Your application will be processed as quickly as possible, however, in the beginning

of the season this could take several weeks. You will receive a letter when your application is completed. Failure to

provide required documents may result in delay or denial of your application.

To apply for the Energy Programs, you must send to your local EAP Service Provider:



The State-issued photo ID for the applicant. Photo IDs are not required for other household members.



The completed application with all questions answered and the last page signed and dated.



Copies of Social security cards for all members one year or older.



A copy of proof of income received in the last 3 full calendar months for each household member.



If you paid child support, please send proof of child support payments.



A copy of your last heating bill and your last electric bill.



If you are a homeowner, a copy of your property taxes, mortgage statement, homeowner insurance or deed.



If you rent, a copy of your lease or Landlord Affidavit.

PART 1. Personal Information: Fill in your name, Social Security Number (SSN), date of birth, current home address, phone

number, and contact information. At least one household member age 18 or older must provide a verifiable SSN to

process the application. Contact your local EAP Service Provider if no one in your household is able to provide an SSN.

You may be able to provide an alternative legal documentation. Having persons in your household without SSNs will not

disqualify you from receiving and EAP benefit.

PART 2. Energy Emergency: If you are having an energy emergency such as your energy services are or will be shut-off or

you are out of fuel, or almost out of fuel, fill in the energy emergency information and send a copy of the disconnect notice

from your energy company showing the amount owed. If you use bulk or biofuel, please fill in the Self-Declaration of

Primary Fuel Source Level which you will find at the end of the application. For faster help with an emergency, or if you

feel you are in a life-threatening situation, please call 211 or your local service provider, who may be able to assist you

more quickly or from being disconnected. If you are not in an energy emergency, you can skip this section.

PART 3. Household Information: Fill in all the information for everyone living in your home. ALL people living in the home

are household members if they share the kitchen or other living areas in the home. Non-custodial parents may include

their children under age 18 as household members. Household information will ask for social security numbers and date

of birth. This information is mandatory. Other questions about race, years of school and health insurance are optional.

Questions about disabilities and veteran status may help you get a higher benefit.

Disconnected youth: Please let us know if anyone age 14 to 24 living in your household is not working or going to school.

Employees: Please let us know if you or anyone in your household works for the local service agency listed on the top of

the application.

PART 4. Income, Benefits and other assistance:

Sources of Income:



List all sources of income for all members of your household, 18 and older.



Do not count income for Full time students under age 23.



Report all income and all money received by each household member in the last 3 full calendar months.



Send proof of all income received by all people in your household in the last 3 full calendar months before

the month you sign your application. Send copies, originals will not be returned.

Proof of Income by type may include, but are not limited to:



Wages: Check stubs or a written statement signed by your employer stating gross wages, or bank statements.



Spousal Support or Alimony: Checks, bank deposits, or a note signed by the payer stating the amount and

dates of received payments or other proof of amount received.



Disability Payments, Veteran’s Benefits, Workers’ Compensation, Social Security, SSDI and SSI: Award

letters, bank statements showing direct deposits or a copy of the check(s).

Instructions For Indiana Energy Assistance Program Application Form - Indiana Housing And Community Development Authority - 2017-2018

Related Articles

Related forms

Related Categories