DO YOU NEED GAS & LIGHTS ASSISTANCE?
LIHEAP/INTAKE
September 1, 2009
ELIGIBILITY REQUIREMENTS:
SERVING ONLY IN SEPTEMBER
1. HOUSEHOLD 60 & OLDER
2. DISABLED & SSI
3. DISCONNECTED
Documents Needed:
· 30 day Income
· S.S. Card for entire household
· Current Light & Gas Bill
· If your Utilities are Included in Rent
Lease or (Rent Verification Form –Intake will furnish form)
INCOME GUIDELINES:
# Of people Living in Household Gross income for 30 Days Prior to Application

1 $ 1,354
2 $ 1.821
3 $ 2,289
4 $ 2,756
5 $ 3,224
6 $ 3,691
7 $ 4,159
8 $ 4,626
9 $ 5,094
10 $ 5,561

Churches, Block Clubs, Organizations and Groups
For More Information or To Schedule a Date
Call Deborah Turner @ 312-636-0553
(Hope Organization)