HEAP and Emergency HEAP
 Gross income for everyone in the home for most recent 13 weeks
 Social Security numbers of everyone in the home
 Birthdates of everyone in the home
 Medicaid or Healthy Start card in applicable
 Electric bill
 Gas bill
(*to qualify for emergency HEAP, a utility must be in disconnect status)

HWAP application
 Gross income for everyone in the home for the last 12 months
 Proof of home ownership or landlord form, if applicable
 Gas bill
 Electric bill
 Social Security numbers of everyone in the home
 Birthdates of everyone in the home
 Completed energy application
(*Households receiving SSI or TANF automatically qualify, regardless of income total)

Salvation Army
 Driver license of primary applicant
 Social Security Cards of everyone in the home
 Birth Certificates of everyone in the home
 Most recent check stub, if applicable
 Proof of other gross income for everyone in the home (Child support, SSI, TANF, Social Security, etc.)
 Medicaid or Healthy Start card, if applicable
 Medical appointment card and proof of vehicle insurance (if assistance is for fuel)
 Eviction notice (if assistance is for housing)

Mercer County CHIP
 Completed application packet
 Verification of income of all household members over the age of 18
 Declaration page of homeowner insurance policy
 Most recent statements of any financial accounts held
 Most recent utility bills
 Most recent federal income tax return
 Statement of assets held (stocks, bonds, annuity, etc.)
 Documentation of real estate owned