Fuel Assistance Checklist

Additional, supplemental fuel assistance may be available. Contact the Senior Center for information.

The documentation listed below is required to be submitted along with your Fuel Assistance application.  When you have all the required documents, please call the senior center at 508-520-4945 to schedule an appointment to complete the application. You will need to bring the following as they apply to you:

HOUSEHOLD INFORMATION:

___Picture ID (for head of household)

___Social Security cards for all household members

___Birth certificates for children

PROOF OF INCOME: Please note that bank statements are NOT acceptable proofs

___Proof of income for the past 30 days for all household members who are over 18

___Any / all Social Security benefits (award letter)

___Pension

___Annuities

___EAEDC-TANF (award letter)

___Self Employment Income (Tax return)

___Rental Income

___Child Support / Alimony

___Unemployment compensation

DOCUMENTATION:

___Rent Receipt or Lease

___Mortgage Statement, Condo Fees, Tax Bill, and Home Owners Insurance

___Current Heating Bill

___Current Electric Bill

___Full Name and Address of Landlord

___Other____________________________________________________________________