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NEIGHBOR FOR NEIGHBOR HEAT FUND

ELIGIBILITY WORKSHEET

Are you in need of assistance with your gas bill?  The Salvation Army (Buffalo) can assist you!!!!

 

Eligibility-Applicants must require energy-related assistance. Which ONE of the following conditions is present:

  • Applicant must be 55 years of age or older.
  • Applicant or household member must be disabled or handicapped and receiving Supplemental Security Income (SSI) or Social Disability.  The household member must be a permanent resident in the home.(attach documents)
  • Applicant must have an acute medical condition that would be worsened by the absence of heating or cooling. (attach documents)
  • Applicant must be receiving unemployment benefits.
  • Applicant or household member is a veteran.

 

If you qualify, you will need to bring the following documents:

  • Verification of age, disability, or medical condition
  • Household income information.
  • Information regarding household expenses (paid receipts within the last 30 days) and additional expenses that are essential.
  • A signed release of confidential information or a signed Consent (if the applicant is not present at the time of filing)
  • Most recent fuel bill.
  • Documentation of HEAP benefits received or HEAP denial form.
  • Social security cards for all household members
  • Applicant photo of household adults.

 

If you have additional questions, please email Lisa at lisa.holmes@use.salvationarmy.org or call (716) 888-6230.

 

The Salvation Army

Emergency Family Assistance Program

1000 Main Street

Buffalo, NY  14202