Your household may be eligible for CEAP and/or LIHWAP if you can answer YES to the following questions:

• Are you a Connecticut resident?

• Do you meet one of the following income guidelines?

  • You receive any of the following benefits: Supplemental Nutrition Assistance Program (SNAP), Temporary Family Assistance (TFA / TANF), Supplemental Security Income (SSI), State Supplement for the Aged, Blind, and Disabled (State Supp), Refugee Cash Assistance
  • Your annual household income falls at or below the income levels in the table (i.e. 60% of the state’s median income)

  Household Size	1	2	3	4	5	6	7	8
  Annual Income	$41,553	$54,338	$67,124	$79,910	$92,695	$105,481	$107,878	$110,275

• Do you have a Social Security Number? Almost every applicant is required to provide a Social Security Number for each member of their household. To check if you meet one of the exceptions, click here.

You will either need a copy of your most recent heating bill (if applying for Heating Assistance), electric bill (if applying for Heating Assistance), or a copy or photo of your rental lease showing that your utilities are included in your rent

If you or anyone in your household currently receives benefits like food stamps or cash assistance you automatically meet the income requirements and do not need to gather any income documents (see full list under ‘Confirm your eligibility’ above). If you don’t get one of those benefits, you need to submit proof of income. Specifically:

• If you or anyone in your household is employed, you must provide: A copy or photo of paystubs that show income from the previous 30 days or from 4 consecutive weeks anytime in the last 3 months, or a signed letter from payroll department/employer stating your income in this time period
• If you or anyone in your household is self-employed (e.g., freelancer, side-gigger, contractor, small business owner), you must provide: A copy or photo of a completed Self-Employment Worksheet, and your most recently-filed IRS Form 1040, including all schedules
• If you or anyone in your household receives additional income, you must provide: Award letter(s), a bank statement showing direct deposit, and/or signed statements. Click here to learn more.

Depending on your situation, you may need to provide additional documents. If any of the below apply, download and complete the form(s) before you start your online application. You will be asked to upload a photo or copy of the completed form as part of your application.

• Zero Income Form: Complete this form if your household has had no income for the last four weeks or longer. You will submit this in the ‘Income Details’ section.
• Affidavit Certifying Non-Receipt of Child Support Payments: Complete this form if your household includes children who have one or more non-custodial parents who are not paying child support. You will submit this in the ‘Income Details’ section.
• Certification of Disability: Complete this form if you or a household member have a disability but do not receive disability benefits like Supplemental Security Income (SSI) or the State Supplement for Aged, Blind, or Disabled. You will submit this in the ‘Applicant Information’ or ‘Household Information’ section.