CAECI Community Action of East Central Indiana, Inc.

Health and Human Services FY 2009 Poverty Guidelines

200% of Poverty (Weatherization)

HOUSEHOLD SIZE    MONTHLY       ANNUAL
1                                $1,805.00         $21,660.00
2                                $2,428.00         $29,140.00
3                                $3,052.00         $36,620.00
4                                $3,675.00         $44,100.00
5                                $4,298.00         $51,580.00
6                                $4,922.00         $59,060.00
For each additional household member add
                                $623.00             $7,480.00
 

Proof of income:

        Copy of bank statement? (direct deposit info on soc. sec., disability, retirement fund, certificate of deposit, etc.)

        Most recent award letter? (social security, disability, V.A.)

        Copy of most recent check? (social security, disability, V.A., pension)

        Copy of all check stubs or printout of last twelve (12) months of all employment income?

        Printout for unemployment benefits, TANF, child support for the last twelve (12) months?

        Household Member Verification Form for anyone in your household 18 years of age and older and who has no income for any or all of the last twelve (12) months? If claiming support from someone not in your household, you will need a note from them outlining the months and types of support they provided. Notes must be signed, the name, address, and phone number of the provider.

Contact us  if you need Income Verification Forms or for Agreement Forms

Other information needed:
        Copies of soc. sec. cards for all household members?                Owner Agreement if homeowner or, if
                                                                                                                    renter, a Tenant Agreement
        Copy of most recent heating and electric bills?                           Copy of Property tax/Mobile Trailer Title