Required Intake Documents for Utility Assistance

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Applications for utility assistance cannot be processed unless all required documents are submitted. If applications are submitted without the following documents, your application may be delayed or denied.

You will need to provide the following information for everyone who lives in your home:

First and Last names
Birthdates
Social Security Numbers for everyone who has one
Basic demographic information (optional)

You will need to submit proof of your utility account or heating vendor:

Most recent utility bill statement or purchase receipts for bulk fuel
Receipts showing proof of bulk fuel purchase for firewood, propane or pellets.
Rental agreement or lease if you pay to your property management.

Please don't wait to apply if you don't have a recent utility bill. Staff can verify your account with your utility company.

You will need to submit proof of all income for everyone 18 and older:

If your intake or submitted application is in this month:	Your income pay dates or received dates will be within these dates:
October	September 1 - September 30
November	October 1 - October 31
December	November 1 - November 30
January	December 1 - December 31

Type of income	Documentation needed	Where can I get proof?
Social Security (retirement, disability, survivors)	2024 Benefit Letter	ssa.gov/myaccount or call 800-772-1213
Supplemental Security Income (SSI)	2024 Benefit Letter or bank statement	ssa.gov/myaccount or call 800-772-1213
TANF cash grant	Screenshot from EBT app or ONE system	ebtedge.com or one.oregon.gov
Wages from job	Paystub showing employee name, employer name, pay dates and gross amount	Employer provided
Veterans Benefits	2024 Benefit Verification Letter or bank statement	VA.gov or call 800-827-1000
Retirement Income	2024 statement	Company provided
Court Ordered Child Support or Alimony	Court document showing monthly amount	Court provided
Self Employment	Self Employment Worksheet	Self Employment Worksheet
No income	Declaration of Zero Income	Declaration of Zero Income
Undocumented Income such as canning, non court ordered child support	Declaration of Household Income	Declaration of Household Income - Undocumented Income

Additional income documentation types

You will need to provide proof of ID for everyone 18 and older:

Proof of ID includes but is not limited to:
Government Issued ID or drivers license	Passport
Utility bill with name printed	Income document with name printed
Student ID	Legal document with name printed

You will need to provide proof of SSN for everyone in your household who has one:

Program	SSN required
LIHEAP	Yes
OEAP for Pacific Power	No
OLGA for Northwest Natural	No
Project Share for Springfield Utility Board (SUB)	No
EWEB Customer Care for Eugene Water Electric Board (EWEB)	No

Lane County Utility Assistance staff are available to answer any questions you may have. You can call our office at 541-682-3378 or send us an email at this link.