Tri-County Community Action, Inc.
Champaign, Logan & Shelby Counties of Ohio, USA
Phone: 937-593-0034 1-866-256-4497 (Toll Free)


Income Eligibility Qualifications

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You can make an appointment with us to process your application from the beginning, or you can send an application to the State Office. Click here to download an application form. Print it, fill it out and mail it to the address listed on it. (Once your application is received, you will be contacted with further instructions)

ELIGIBILITY:
Household income is defined as the gross income of all household members, except wage or salary income earned by dependent minors under 18 years of age. Head of household and spouse may never be considered as minors. Gross income includes, but is not limited to, wages (excluding documented health insurance premiums), interest, annuities, pensions, social security (excluding Medicare premiums), retirement, employment disability, public assistance, Supplemental Security Income (SSI), alimony, child support, unemployment benefits, Workers’ Compensation, and any other indirect income such as utility allowances. For weatherization services, households that received assistance from Temporary Assistance for Needy Families (TANF), HEAP, or SSI during the preceding 12 months are automatically eligible.

Households which have a member who is age 65 or older and/or a member who is totally and permanently disabled will be evaluated for an increased benefit.

PROOF OF INCOME:
You must provide proof of income for everyone living in your household. A household must report total gross household income for the past 12 months for all members, except wage or salary income earned by dependent minors under 18 years old.Both homeowners and renters are eligible for assistance. Examples of documents, which provide proof of income, are:

  • payroll stubs

  • statements from employers

  • public assistance payment histories or

  • benefit letters from Social Security

  • Workers’ Compensation

  • Unemployment Compensation

  • tax forms/schedule, etc.

YOU MUST BRING SOCIAL SECURITY NUMBERS
FOR ALL HOUSEHOLD MEMBERS 2 YEARS OF AGE OR OLDER

The total household income of an applicant must be at or below 150 percent
of the Federal Fiscal Year 2010 federal poverty guidelines:
POVERTY GUIDELINES

PROOF OF DISABILITY:
If you answer yes to question #12 on the application, you must submit proof of disability, but need not disclose the nature of the disability.
Proof includes:

  • a doctor’s statement,

  • benefits letters for Supplemental Security Income,

  • Social Security Disability,

  • Workers’ Compensation, etc.

Permanently and totally disabled means a person who has, on the first day of July of the year an application is made, some impairment in body or mind that makes the person unfit to work at any substantial employment that the person would otherwise be reasonably able to perform and that will, with reasonable probability, continue for an indefinite period of at least twelve months without any present indication of recovery there from, or who has been certified as permanently and totally disabled by a state or federal agency having the function of so classifying persons.

PROOF OF HEAT TYPE:

  • Attach a copy of your fuel bill or any other document showing your main heating fuel and main fuel supplier.

  • Also attach a copy of your electric bill even if electricity is not your main heating fuel.

To qualify for possible benefits from the HEAP Summer Crisis Program, you must submit the information requested regarding your electric utility vendor with the application.

Exceptions to the Guidelines:
Families who live in federally-subsidized housing
(where the heat is included in the rent) are not eligible for HEAP:

If you live in federally subsidized housing and have a utility bill in your name, you may be eligible for assistance. If you live in federally subsidized housing and your heat is included in your rent, you are not eligible for payment assistance, but may be eligible for weatherization services. Residents of any licensed medical facility (hospital, skilled nursing facility or intermediate care facility) or publicly operated community residence (example: YMCA) are ineligible. Boarding/rooming houses, group homes or emergency shelters are ineligible for payment assistance but may be eligible for weatherization services. All persons who share a common kitchen or bath are considered members of the same household and must apply on one application. Tax dependent college students who are absent from the household solely because of college attendance must be included on your application for the determination of eligibility. They may not apply for payment assistance as a separate household. For weatherization services, tax dependent college students are not necessarily included to determine eligibility and may apply for weatherization services as a separate household.