Get In Energy Assistance And Water Assistance Program Application 2022-2025

Filling out the Indiana Energy Assistance and Water Assistance Program Application online can be a straightforward process if you follow the right steps. This guide provides comprehensive instructions to help you complete the application accurately and efficiently.

Follow the steps to complete your application with ease.

1. Click ‘Get Form’ button to obtain the application form and open it in your chosen editor.
2. Select the type of assistance you are applying for: regular Energy Assistance, water and wastewater assistance, or both. If you are facing a utility disconnection or are running low on fuel, remember to indicate that you are in crisis.
3. In Part I, provide your contact information completely, including the full name, last four digits of your SSN, and reliable methods for the agency to contact you. Omitting information may delay processing.
4. In Part II, fill out information about your home and utility providers, including current electricity, heating, and water/wastewater bills. Make sure all details are accurate.
5. In Part III, list all sources of income and benefits for every household member for the past three months. Submit documentation of income as required, ensuring to clarify any child support received.
6. In Part IV, list all household members, including yourself. Provide complete demographic information for each individual. If you have more than four members, attach an additional sheet.
7. In Part V, ensure you sign and date the certification statement. This step is crucial as failing to do so will invalidate your application.
8. Once completed, save your changes, and be sure to download the form for your records. Print or share it as necessary before submitting it to your local service provider.

Complete your IN Energy Assistance and Water Assistance Program Application online today!