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How to Apply

Am I Eligible?

You may be eligible for assistance if you meet the following criteria:

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1. Overdue water or wastewater account

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2. Live in
Arkansas

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3. US citizen or qualified alien

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4. Income at or below MCI (chart below)

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
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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 water and/or 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

    Before you proceed...

    The following items will be helpful to have on hand to complete your application:

    • Valid Identification for Application (and spouse/co-borrower, if applicable)
    • Federal Tax Return for Applicant for Year of Hardship (and spouse/co-borrower, if applicable)
    • Proof of Homeownership
    • Mortgage/Utility/Internet Statements Displaying Delinquency 

     

    Understood. Take me to the application.

     

    If you would like more information regarding documents needed to apply, please review the HAF Document Checklist.

    If you are looking to apply for Utility Payment Assistance but have not yet applied for the Low-Income Home Energy Assistance Program (LIHEAP), please visit the Arkansas Energy and Environmental Quality website for program information and instructions on how to apply. This is a requirement to pre-qualify for Utility Payment Assistance under HAF.