The 2026-27 Energy Assistance program will open at TEAM on September 1, 2026.

**Please provide all that applies for all household members:**

• SIGNED application including Social Security Numbers and Dates of Birth, etc. (all household members)
• Documentation of four weeks/one month of income within three months prior to application date for all household members aged 18 and over, unless they receive a categorically eligible benefit/program (see Income Documentation below for a list of categorically eligible programs)
• Gas bill (if you heat with gas) OR Oil/propane/kerosene vendor name (if you heat with a deliverable fuel)
• Electric bill (all households must provide electric bill)
• For households with heat included in rent, provide lease/rent receipt and proof that heat is included with rent.

You must establish income eligibility by providing proof of income for all household members, specifically:

• Employment Income: Provide income documentation from the thirty (30) days before the date of application or from four (4) consecutive weeks within the three (3) months period before the date of application.
• Self-Employment Income: Provide six (6) or twelve (12) full calendar months’ income documentation and the most recently filed IRS Form 1040 (with all appropriate Schedules, including C, D, E, SE, K, etc.)
• Additional Income: Required proof depends on income type, i.e.
  • Social Security, unemployment, or Veterans’ benefits: Award letter(s), statement showing direct deposits, or copy of a recent check.
  • Contributions from friends/ relatives: Signed statement(s) from friends / relatives who are contributing to your household’s income.
  • Pensions or annuities: Statement or signed statement (on official letterhead) from income source, or IRS Form 1099.
  • Rental income: Copy of a recent check, rent stub(s), or lease agreement.
  • Alimony, child support, or adoption benefits: Bank statement showing direct deposits, copy of a rent check, award letter(s), etc.

*You may be required to provide additional documentation not listed above.

Any household that makes direct vendor payments for heat and all members of the household participate in one (1) or more of the following assistance programs are considered “categorically eligible” and will not be required to provide proof of income.

1. Temporary Family Assistance (TFA)
2. State Supplement to the Aged, Blind and Disabled
3. Refugee Cash Assistance Program
4. Supplemental Nutrition Assistance Program (SNAP)
5. Supplemental Security Income (SSI)
6. Veterans means-tested Benefits (Pension for veterans of a period of war, Survivor(s) Pension (spouse and child(ren)), Parents’ Dependency and Indemnity Compensation).