Fuel Assistance Program

Application Checklist

When requesting fuel assistance, you must bring the following with you to the interview with the fuel certifier:
  • Social Security Cards for everyone in the household.
  • Photo Identification of everyone in house hold over 18 years, social security cards or birth certificates.
  • Income verification for everyone in the household over the age of 18:
  • Wages
    • Most recent paystub if paid monthly
    • Two most recent consecutive paystubs if paid bi-weekly
    • Four most recent consecutive paystubs if paid weekly
  • Alimony or Child Support
    • DOR Report
    • CAPIC Financial Assistance Form (contact office for form)
  • Unemployment
    • Benefit Award Letter
    • Four Consecutive paystubs or a bank statement
  • Social Security (SS/SSI/SSDI)
    • Benefit Letter
  • Gross Pension
    • Gross pension letter from company providing pension.
    • Most Recent Check Stub
  • Foodstamps/Tafdc/EAEDC
    • Benefit letter specifying amount received
  • No Income
    • Contact CAPIC
  • Full Time Students
    • Letter from registrar's office of class schedule
  • Self-Employed
    • Copy of 2013 Federal Income Tax Return including Schedule C
    • Copy of 2014 Federal Income Tax Return including Schedule C.
  • Heat Source:
    • Oil Company / Kerosene Company / Propane Company (with CAPIC Contract)
    • Gas or Electric Bill
  • Renters:
    • Updated copy of lease
    • Section 8 Lease / Addendim (showing rental breakdown)
    • Public Housing Lease
  • Home Owners:
    • Mortgage Statement or Mortgage Interest Statement
    • Home Owner's Insurance or Real Estate Tax Bill, or Water or Sewer Bill
    • Rental Income (Current Lease or Letter written from landlord)
    • Homeowners with rental property need to submit Federal taxes wiuth Scheudle C or interest on mortgage, a water & sewer bill, cost of homeowners insurance, property tax bill and rent receipt or lease for tenants.
    • Homeowners of single homes/condo submit a real estate tax bill and the cost of the homeowners insurance if the house is paid for or a mortgage statement if there is a mortgage.