Fuel Assistance Income Guidelines
Low-Income Home Energy Assistance Program (LIHEAP) Income Guidelines
LOW-INCOME / NO INCOME INTERVIEW FORM
For use in cases of “no income” or when monthly income is equal to or less than $200.00 after housing costs are deducted.) All sections of this form MUST be completed by applicant.
0 Income Form
Each adult (ages 18+) household member reporting no income (zero income) is required to complete a section below.