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Eligibility:
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Applicants must be legal residents, meet income guidelines, and be named on the energy bill.
Income Guidelines at 60% of State Median Income:
Household / Monthly Gross Income
1 / $3,170.00
2 / $4,145.41
3 / $5,120.83
4 / $6,096.25
5 / $7,071.58
6 / $8,047.00
7 / $8,229.91
8 / $8,412.75
9 / $8,595.66
10 / $8,778.58
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Languages:
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English and Spanish. Additional languages are provided via a translation service.
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Application Process:
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Call to request an application by mail, pick up application at HSA office, or visit website to download application
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Program Fees:
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No fees
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Documents Required:
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*Complete Intake application
*Current Energy Bill (provide all pages)
*Verification of income for all household members in last 30 days - CalWORKs/CalFresh; SSI, SSA, Pension and Annuities, Wages, Interest Income, Disability Compensation, Unemployment Benefits, Child and/or Spousal Support, GA, Veteran's Benefits, Current signed Federal Form 1040 Tax Return pages 1 and 2, Schedule 1, and Schedule C for self-employed only or Schedule E for Rental Income
*Legal Residency Status - US Birth Certificate, CA Real ID, US Passport (not expired), Certificate of Naturalization, Permanent Resident Card (not expired)
*Government Identification - Driver License, State or Tribal ID, US Military Card (front and back), US Passport or Passport Card (not expired)
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