[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-280934-105":53,"doc-detail-280934-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","income-verification-low-income-project-information-and-verification-form-optional","Income Verification - Low-Income Project Information and Verification Form (Optional)","","Income verification guidance for households seeking utility incentives by meeting qualifying income thresholds or participating in listed assistance programs. It defines gross income as wages, tips, rental income, public assistance, Social Security or pensions, self-employment income, alimony, interest, and other IRS-defined sources. Eligibility is determined through either documentation submission to a utility or Community Action Agency, or self-attestation, and includes example qualifying gross annual incomes based on household size at 200% of the federal poverty level.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/income-verification-low-income-project-information-and-verification-form-optional/280934/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/income-verification-low-income-project-information-and-verification-form-optional/280934.png","ImageObject",442,249,{"name":88,"@type":89},"Mack Lee","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-11-04","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What makes a household eligible for utility incentives?","Question",{"text":109,"@type":110},"Eligibility requires meeting at least one qualifying income criterion listed in the provided tables or receiving assistance from one of the specified programs.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What counts as gross income for income verification?",{"text":114,"@type":110},"Gross income includes wages and tips, rental income, public assistance, Social Security or pensions, self-employment income, alimony, interest, and any other income sources defined by the IRS tax return.",{"name":116,"@type":107,"acceptedAnswer":117},"How can applicants verify income: documentation or self-attestation?",{"text":118,"@type":110},"Applicants can either submit verifiable documentation to the utility or Community Action Agency, or complete a self-attestation when they have not provided documentation from eligible sources.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},280934,1789562698,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":126,"read_time":9},1236954509970,"https://us-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","INCOME VERIFICATION  \nA household may qualify for incentives if it meets at least one of the following criteria listed in Table 1 below. You may provide proof of income, either by providing verifiable documentation to your utility or Community Action Agency or by signing a self-attestation that your household meets at least one income qualification criteria.  \nGross income includes all wages, tips, rental income, public assistance, social security or pensions, income from self-employment, alimony, interest, or any other sources of income defined by the IRS income tax return.  \nTable 1: Qualifying Income Criteria  \n\n| Total Number of People in the Household, Including Yourself |  | Household’s Gross Annual Income |  |\n| --- | --- | --- | --- |\n| You may qualify for incentives if you meet at least one of the following income criteria or receive assistance from any of the programs below: |  |  |  |\n| ☐ | Gross income falls within 200% of the federal poverty line (see Table 2) |  |  |\n| ☐ | Gross income meets your state’s income guidelines (if different) |  |  |\n| ☐ | Gross income meets your tribe’s income guidelines (if different) |  |  |\n| ☐ | LIHEAP |  |  |\n| ☐ | HUD |  |  |\n| ☐ | NAHASDA |  |  |\n| ☐ | Section 8 |  |  |\n| ☐ | TANF |  |  |\n| ☐ | Supplemental Social Security |  |  |\n\nTable 2: Income Qualifications Based on 200% of 2025 Federal  \nPoverty Level  \n\n| 1 person | $31,300 |\n| --- | --- |\n| 2 people | $42,300 |\n| 3 people | $53,300 |\n| 4 people | $64,300 |\n| 5 people | $75,300 |\n| 6 people | $86,300 |\n| 7 people | $97,300 |\n| 8 people | $108,300 |\n| 9 or more | Add $11,000 each |\n\nProof of Income Option 1: Income Verification with Documentation  \nSubmit documentation to entity verifying income or to confirm eligibility. Check with resident’s utility to determine if other  \nincome documentation is necessary.  \n\n| Eligible Income Sources | Documentation Submitted to Utility\u003Cbr>(Only one document necessary) | \u003Cbr>Utility Verified Documentation\u003Cbr>(Note: Utility is not required to collect or maintain documentation after verification.) |\n| --- | --- | --- |\n| Community Action Agency Certification | ☐ | \u003Cbr>☐ |\n| Pay stub | ☐ | \u003Cbr>☐ |\n| IRS form 1040 | ☐ | \u003Cbr>☐ |\n| LIHEAP certification | ☐ | \u003Cbr>☐ |\n| HUD eligibility | ☐ | \u003Cbr>☐ |\n| NAHASDA eligibility | ☐ | \u003Cbr>☐ |\n| Section 8 eligibility | ☐ | \u003Cbr>☐ |\n| TANF eligibility | ☐ | \u003Cbr>☐ |\n| Supplemental Social Security | ☐ | \u003Cbr>☐ |\n| Proof of current assistance from state health and human services agency | ☐ | \u003Cbr>☐ |\n| Social Security Income | ☐ | \u003Cbr>☐ |\n| GA | ☐ | \u003Cbr>☐ |\n| VA | ☐ | \u003Cbr>☐ |\n| Unemployment | ☐ | \u003Cbr>☐ |\n\nLow-Income Project Information and Verification Form (Optional)– Last Updated January 2024  \nOption 2: Self-Attestation of Income  \nComplete the self-attestation to confirm income eligibility if you have not provided documentation of income from eligible sources listed in Option 1.  \n\n| I, Enter First and Last Name am a  ☐ Homeowner or  ☐  Tenant (check one) of the single-family home, manufactured home, or multifamily unit that will receive or have received energy efficient upgrades.\u003Cbr>I am a customer of Enter name of serving electric u􀆟lity I am aware that this utility and Community Action Agencies in my area can provide energy efficient upgrades at a high-level of assistance, but it requires I prove I meet certain income qualification guidelines . (check one)\u003Cbr>☐ I do hereby declare that my gross household income does not exceed the maximum income for my household size as indicated in the eligible income threshold above.\u003Cbr>☐ OR, I benefit from any of the Eligible Income-Qualified Programs listed below.\u003Cbr>􀂃 Community Action Agency Certification\u003Cbr>􀂃 Section 8 eligibility\u003Cbr>􀂃 LIHEAP certification\u003Cbr>􀂃 HUD Housing\u003Cbr>􀂃 Supplemental Social Security Income\u003Cbr>􀂃 TANF\u003Cbr>􀂃 NAHASDA\u003Cbr>I certify that the information presented is true and accurate. I further understand false, misleading or incomplete information may render me (the Applicant) ineligible to rece","cbCaiiDBHEPzupLj","https://ap.wps.com/l/cbCaiiDBHEPzupLj","pdf",305326,"English","# Income Verification Requirements\n## Qualifying Income Criteria\n## Proof of Income Options\n## Documentation Submission\n## Self-Attestation Statement","[{\"question\":\"What makes a household eligible for utility incentives?\",\"answer\":\"Eligibility requires meeting at least one qualifying income criterion listed in the provided tables or receiving assistance from one of the specified programs.\"},{\"question\":\"What counts as gross income for income verification?\",\"answer\":\"Gross income includes wages and tips, rental income, public assistance, Social Security or pensions, self-employment income, alimony, interest, and any other income sources defined by the IRS tax return.\"},{\"question\":\"How can applicants verify income: documentation or self-attestation?\",\"answer\":\"Applicants can either submit verifiable documentation to the utility or Community Action Agency, or complete a self-attestation when they have not provided documentation from eligible sources.\"}]","Income Verification - Low-Income Project Information and Verification Form (Optional) | PDF"]