Documentation for Fuel Assistance

Any data provide on this application form will be subject to verification through computer matching with the records
on file at the federal Social Security Administration (SSA), and the Massachusetts Department of Transitional
Assistance.

LIHEAP Form

Birth Certificates

Birth Certificates File Upload *
Maximum upload size: 268.44MB
For All Household Members

Social Security Cards

Social Security Cards File Upload *
Maximum upload size: 268.44MB
For All Household Members

Picture ID

Picture IDs File Upload *
Maximum upload size: 268.44MB
For All Household Members

Proof of Citizenship

Proof of Citizenship File Upload *
Maximum upload size: 268.44MB
For All Household Members

Fixed Income

Such as social security, SSDI, SSI, TANF, EAEDC, etc.

Please upload Award Letter or Print out from Agency.

Fixed Income File Upload
Maximum upload size: 268.44MB

Bank Accounts

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