Energy Assistance
CONNECTICUT ENERGY ASSISTANCE PROGRAM
INCOME DOCUMENTATION REQUIRED FOR ALL HOUSEHOLD MEMBERS AS FOLLOWS (*ITEMS MUST BE DATED WITHIN PRIOR 4 WEEKS OF APPLICATION DATE)
*BANK STATEMENTS – Complete statements including bank name and your name
*CHILD SUPPORT – Copy of court order, divorce decree or signed agreement
DATE OF BIRTH – For all household members
SOCIAL SECURITY NUMBER – For all household members
*EMPLOYMENT – Four consecutive weeks of paystubs showing GROSS earnings
HEAT INCLUDED IN RENT – Copy of lease or letter from landlord (including his/her name,
address and phone number) stating heat is included in rent, and amount paid
HEAT WITH UTILITY (Eversource Electric or Eversource Gas) – Current bill is needed
*INTEREST – Verification on bank statement if more than $10 a month
*PENSION/RETIREMENT INCOME – Proof includes direct deposit or letter stating annual
income
*RENTAL INCOME – Copy of lease or rental agreement
SELF-EMPLOYMENT – NOTARIZED form covering prior 6 or 12 full calendar months,
PLUS COMPLETE current Income Tax Return (Personal and/or Business)
SOCIAL SECURITY BENEFITS – Proof includes direct deposit, letter from Social Security
or copy of check
*UNEMPLOYMENT COMPENSATION – Printout from DOL
*VETERAN’S BENEFITS – Proof includes letter from V.A.
*WORKMAN’S COMPENSATION – Proof includes direct deposit or letter stating weekly
Income
*PICTURE I.D.
PLEASE BRING IN ALL PROPER DOCUMENTATION AT THE SAME TIME
WE ARE NOW REQUIRED TO HAVE ALL PAPERWORK BEFORE WE CAN EVEN BEGIN THE APPLICATION PROCESS