Utility Assistance – Apply For Services

2024 Utility Assistance Applications:

For additional Household Members:

*NOTE: IT IS MANDATORY THAT ALL REQUIRED DOCUMENTS BE UPLOADED IN ORDER FOR YOUR APPLICATION TO BE PROCESSED! IF DOCUMENTS ARE NOT UPLOADED, YOUR APPLICATION WILL NOT BE PROCESSED!

REQUIRED DOCUMENTS

• Social security cards for all household members
• Proof of ALL income FOR THE PAST 30 DAYS for every household member 18 years or older, who works or receives assistance. (Check stubs, Social Security/SSI, award letters including minor children receiving any type of SS benefit included) Letters must be from Social Security Administration and must reference or be dated for the current year, VA letter, unemployment, TANF letter, retirement, pension, child support, etc.
• If any household member 18 or over is NOT receiving any income, you must complete the attached Declaration of Income Statement.
• Proof of citizenship and identity for ALL household members. NO EXCEPTIONS! (If you do not have the forms listed below, please contact your local office for a list of other acceptable forms.)
  • Citizenship forms for every household member: certified copy or birth certificate (not footprint hospital record), passport, certificate of naturalization or US tribal registration with photo, permanent resident card
  • Identity: driver’s license or state issued ID, military card, state offender card, current school ID (immunizations or school records for minors may also be accepted as proof of identity)

  *NOTA: ¡ES OBLIGATORIO QUE TODOS LOS DOCUMENTOS REQUERIDOS SEAN CARGADOS PARA QUE SU SOLICITUD SEA PROCESADA! SI LOS DOCUMENTOS NO SON CARGADOS, ¡SU SOLICITUD NO SERÁ PROCESADA!

  DOCUMENTOS REQUERIDOS

  • Solicitud completa incluyendo todos los documentos requeridos.
  • Tarjetas de seguro social para todos los miembros del hogar
  • Comprobante de TODOS los ingresos DURANTE LOS ÚLTIMOS 30 DÍAS de cada miembro del hogar mayor de 18 años que trabaje o reciba asistencia. (Talones de cheques, Seguro Social/SSI, cartas de adjudicación incluidos los niños menores que reciben cualquier tipo de beneficio de SS incluidos) Las cartas deben ser de la Administración del Seguro Social y deben hacer referencia o estar fechadas para el año en curso, carta VA, desempleo, carta TANF, jubilación, pensión, pensión alimenticia, etc.
  • Si algún miembro del hogar mayor de 18 años NO está recibiendo ningún ingreso, debe completar la Declaración de Ingresos adjunta.
  • Prueba de ciudadanía e identidad de TODOS los miembros del hogar. ¡SIN EXCEPCIONES! (Si no tiene los formularios que se enumeran a continuación, comuníquese con su oficina local para obtener una lista de otros formularios aceptables).
    • ü Formularios de ciudadanía: copia certificada o certificado de nacimiento, pasaporte, certificado de naturalización o inscripción tribal de EE. UU. con foto, tarjeta de residencia permanente
    • ü Identidad: licencia de conducir o identificación emitida por el estado, tarjeta militar, tarjeta de delincuente estatal, identificación escolar actual (también se pueden aceptar vacunas o registros escolares para menores)

    Step 1: If you are interested in applying for utility assistance, you must complete an application and include the following documents. All documentation is required to complete an application. Incomplete applications will not be accepted.

    • Completed Application
      • Electronic Application; youmustupload all required documents in order for your application to be processed; please also include a current working telephone number for us to contact you at. Online application link is below.
      • Printable Application: Once printed this form must be completely filled out, signed by the applicant and be accompanied by all required documents in order for your application to be processed.
      • Age 16 or older must provide the following:
        • One of these: Valid Passport, US American Indian or Alaska Native tribal enrollment card with photo, Certificate of Naturalization, Certificate of US Citizenship OR
        • Two of these: Valid photo identification card or driver’ license and birth certificate, certificate of degree of Indian blood issued by tribe, US Citizen card, American ID card, final adoption decree showing US as place of birth, Texas voter ID card, permanent resident card, non-immigrant cards, refugee/asylee card.
        • For Children Under the Age of 16:
          • Photo ID, clinic, doctor, hospital or school record or proof of qualified alien status, permanent resident card, non-immigrant cards, refugee/asylee card.
          • Copies of employment check stubs for the past 30 days.
          • Award letters are required for anyone receiving Social Security, SSI, SSDI, RSDI, Retirement, Veterans benefits, etc. These award letters must be the current year’s award letter and must be dated 2019. Prior year award letters will not be accepted.
          • Self-employed must bring proof of income for the past 30 days (includes invoices, receipts, etc.)
          • If you have no income or are self-employed, a Declaration of Income Statement must be filled out and signed. Fillable Declaration of Income Statement
          • Please note: copies of bank statements, copies of checks, food stamp letters, etc. will be NOT be acceptable proof of income.

          Step 2: Once the application has been completed and all appropriate documentation has been obtained, please contact your local Community Services office to schedule an appointment. If you cannot keep your appointment, please call the office to reschedule. Failure to arrive on time or failure to bring ALL required documents will result in the appointment being rescheduled.

          Community Services Office Locations

          1220 Simmons Ave, Jourdanton, Tx. 78026