How to Apply
Am I Eligible?
You may be eligible for assistance if you meet the following criteria:
2. Live in Arkansas
3. US citizen or qualified alien
4. Income at or below MCI (chart below)
5. My household receives one or more of the following: Low Income Home Energy Assistance Program (LIHEAP), Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF), or Supplemental Security Income (SSI)
Income Eligibility Chart
| Household Size | Maximum Monthly Countable Income (MCI) |
|---|---|
| 1 | $1,859.00 |
| 2 | $2,430.00 |
| 3 | $3,002.00 |
| 4 | $3,574.00 |
| 5 | $4,146.00 |
| 6 | $4,718.00 |
| 7 | $5,015.00 |
| 8 | $5,583.00 |
| 9 | $6,150.00 |
| 10 | $6,717.00 |
| 11 | $7,285.00 |
| 12 | $7,853.00 |
| 13 | $8,420.00 |
| 14 | $8,988.00 |
| 15 | $9,555.00 |
| 16 | $10,123.00 |
| 17 | $10, 690.00 |
| 18 | $11,258.00 |
| 19 | $11,825.00 |
| 20 | $12,393.00 |
| Add $560 for each additional household family member | |
Documents Required
Valid Identification
Examples include driver’s license, State ID, Military ID, Tribal ID, passport; health insurance card or employment ID; or birth certificate, if under age one (1).
Social Security Number
Applicants must upload a copy of their Social Security Card and provide the Social Security Numbers (SSN) for all household members. Applicants who do not have a Social Security Card may provide another document, such as:
- Proof of Individual Tax Identification Number (ITIN);
- Proof of legal immigrant status; acceptable documents include:
- Permanent visa;
- Refugee registration cards;
- INS ID card;
- Alien registration cards/re‐entry permits;
- Certain INS forms
For household members younger than one year at the time of application who do not have SSNs, the applicant must provide one of the following:
- Birth certificate; or
- Clinic, doctor, or hospital records.
Past due or current water/wastewater bill
Disconnect notice (if applicable)
Lease Agreement (if water/wastewater statement is included in rent)
Income Documents
Categorically Eligible
If your household is a current recipient of any of the following programs, you will need to upload the determination/award letter for the program(s) that apply to your household. Applicants will also be asked for their household income, size, and other characteristics for reporting purposes only; documentation not required.
- LIHEAP
- SSI
- SNAP
- TANF benefits
Income Eligible
If your household is NOT a current recipient of any of the programs above, you will need to provide supporting documentation to verify your income. Documents may include:
- W2s
- Check stubs from your employer
- Current unemployment benefits letter including gross benefit amount
- Current letter from your employer verifying gross wages
- Current pension/retirement benefit letter
- Current annuity payment letter
- Any current 1099
- Most recent 1040 for self-employed individuals
