
| LOW
INCOME HOME ENERGY ASSISTANCE PROGRAM
Anne Sparkman, Director
LIHEAP is designed for households in need of assistance
to help with the expense that occurs with their energy costs. These
include electric, wood, coal, oil, gas, LP gas, and kerosene.
Applicants need to reapply only once per year. Distribution is available throughout the eight county
area including the counties of:
Funding Source:
TO APPLY FOR LIHEAP
|
LIHEAP
INCOME GUIDELINES
150% FPIG
July, 1, 2011 thru Sept. 30, 2011
| HOUSEHOLD SIZE | ANNUAL MAX | MONTHLY MAX |
| 1 | $16,335 | $1,361.25 |
| 2 | $22,065 | $1,838.75 |
| 3 | $27,795 | $2,316.25 |
| 4 | $33,525 | $2,793.75 |
| 5 | $39,255 | $3,271.25 |
| 6 | $44,985 | $3,748.75 |
| 7 | $50,715 | $4,226.25 |
| 8 | $56,445 | $4,703.75 |
For each additional person over eight in the household, add $5,730
DOCUMENTATION NEEDED
NOTE: If the correct documentation is not submitted
with the LIHEAP application, it will delay the processing of your application.
I. Copy of Social Security numbers for ALL members of household (age one and older)
II.
Proof of EARNED Income for All members of
the household (EXCEPT EARNED income for those under 18 yrs old)
·
Fixed Incomes
(Examples: Social Security, SSI, Retirement and Pensions submit most recent SS
award letter or most recent bank
statement with US Treasury, treasury, etc. deposit(s) name and address must be
displayed on bank statement)
·
Employment Gross Earned Income
(Examples: Regular workweek (no overtime) or
salaried employment submit past 30 days/4 weeks paystubs; Overtime submit
past 13 weeks paystubs)
For all other income, contact your local Neighborhood Service Center
Copy of highest monthly energy costs during the past 12 months
| IF YOU HAVE
NOT APPLIED SINCE JULY 1, 2010 PLEASE DOWNLOAD AN APPLICATION AND
INSTRUCTIONS AND MAILTO YOUR LOCAL NEIGHBORHOOD SERVICE CENTER BELOW.
(PLEASE MAKE AN EXTRA COMPLETED COPY FOR YOURSELF TO KEEP) FY11 LIHEAP - State of TN LIHEAP Application4.pdf (Application) 2 pages FY11 LIHEAP - IMPORTANT NOTICE of CHANGES10.pdf (Notice of Changes) 1 page If you do not have Adobe Reader you may download it at: http://get.adobe.com/reader/?promoid=BUIGO |
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| CARTER COUNTY NSC 204 Rogosin Drive Hermitage Medical Suite 4 P.O. Box 1784 Elizabethton, Tennessee, 37643 |
(423) 542-5121 |
| GREENE COUNTY NSC 424 East Bernard Avenue, Suite 3 PO Box 1946 Greeneville, Tennessee, 37743 |
(423) 639-3681 |
| HANCOCK COUNTY NSC 1197 Main Street P.O. Box 325 Sneedville, Tennessee 37869 |
(423) 733-2522 |
| HAWKINS COUNTY NSC 901 E. Main Street, Suite1 P.O. Box 401 Rogersville, Tennessee 37857 |
(423) 272-2830 |
| UNICOI COUNTY NSC 109 Gay Street P.O. Box 408 Erwin, Tennesse, 37650 |
(423) 743-4103 |
| JOHNSON COUNTY NSC 112 Pioneer Village Shopping Center, Suite 16 PO Box 508 Mountain City, Tennesse, 37683 |
(423) 727-6633 |
| SULLIVAN COUNTY BRISTOL NCS 713 Volunteer Parkway, Suite 3 Bristol, Tennessee, 37621 KINGSPORT NSC 301 Louis Street P.O. Box 46 Kingsport, Tennessee, 37662 |
BRISTOL (423) 968-3951 KINGSPORT (423) 247-5149 |
| WASHINGTON CO. NSC 300 E. Main Street, Suite 107 Johnson City, Tennessee 37605 |
(423) 928-7327 |