^m(mlS$ic%ic!fdJO9PQ2^hy?t&0Oq|l:+(I2Q$h5F|?Enb#-u3HZr? 1 (844) 640-6446 Forms - Franklin County Department of Job and Family Services Franklin County Department of Job and PIPP Plus. 469 0 obj <>stream Web2021-2022 INCOME VERIFICATION FORM . LCDJFS Non Discrimination Statement (PDF), End of Pandemic related changes to SNAP and Medicaid (PDF), Tips for keeping your SNAP, EBT, and Cash cards safe (PDF). yv%&1b8'~8!h6;}ADJPho>JY(~~qGX=u~OIs!~Xp#+xEbc.,>4"Vz`.^x/ ~IUK\]W!qA,6},}U7wCSpbva_>|a]F:e^%|!UX;\m[5w1(gi Employer letter. *nG[ nQ]~@#wpVwqy(E}$'LnmrE(^"x30\H&r7Ec1>elUE ~Q]FP'h 2oS Type text, add images, blackout confidential details, add comments, highlights and more. 8 0 obj Web01. However, depending on an applicants employment status, supplemental forms like Social Security statements or profit and loss statements can provide proof of earnings. Edit your zero income statement ohio online. Wages from any type of employment (including commission and fees). (Last, First, MI) Date of Birth. The advanced tools of the editor will lead you through the editable PDF template. Child Care Self-Employment Form. (mm/dd/yyyy) Medicaid ID Tenant/Applicant Name: Unit # All information is subject to third party You must report any change in your household income and size to your local energy assistance provider (i.e., community action agency). Employer letter. WebMail the Income Verification form and supporting income documentation to the Ohio Department of Education, Scholarship Program Office 25 S. Front Street, Mail Stop 309, Income Verification We are happy to announce the release of the new Scholarship Income Verification System for our scholarship programs! Any applicant or participant affected by negligent disclosure of information may bring civil action for damages, and seek other relief, as may be appropriate, against the officer or employee of HUD, the PHA or the owner responsible for the unauthorized disclosure or improper use. If you have any questions about this scholarship program, please call us at 614-223-1743 or 1-800-673-5876 or contact us by email here. To participate, you must be current on all PIPP Plus payments. Allow 2 business days for documents to be added to case.). Yes No 3. 02. Related Definitions Declaration of Income means the declaration to be completed by a Resident as evidence of the Income of that Resident. You may also enroll in PIPP Plus by completing the Energy Assistance Program application and mailing it to the Ohio Development Services Agency. Updated July 04, 2022. endobj Fill the blank fields; engaged parties names, places of residence and phone numbers etc. Follow the instructions below to complete Zero income verification form ohio online easily and quickly: Make the most of DocHub, the most straightforward editor to quickly handle your documentation online! Both homeowners and renters are eligible for assistance. WebYou may also enroll in PIPP Plus by completing the Energy Assistance Program application and mailing it to the Ohio Development Services Agency. Download your modified document, export it to the cloud, print it from the editor, or share it with other people via a Shareable link or as an email attachment. endobj 5 0 obj Applications Application for Ohio Works First, Disability Assistance, Refugee Cash, Search for a different application on Forms Central Brochures nbsp. 1 0 obj Each time you pay your required monthly payment on-time and in-full, you no longer owe the rest of that month's billed amount. 9j2h#ta$b1.?nvPM@O';8|Pj $0]xpwT'l`bj_x] LUg2&aB+&WhDLosw@w\Z: bD0"(]U %bvp- WebFind the Certification Of Zero Income you require. Each person declaring they have had no income in the last 30 days is Simply contact your utility company. And, when a PIPP Plus household pays the monthly PIPP Plus payment on-time and in-full, some of their old debt and the rest of that month's bill goes away in the form of a credit on their utility account. Yes No 2. endobj Job & Family Services has limited lobby services (. Contact your local energy assistance provider. All-electric homes: $10 or 10 percent of your gross monthly household income each month, whichever is greater. I understand that if I furnish false or incomplete information I can be fined up to $10,000 or imprisoned up to five years, and/or lose the subsidy HUD pays and/or have my rent increased. 2020-2021 INCOME VERIFICATION FORM Income Verification is one step in the scholarship application process. You must contact ODJFS for UC 1-877-644-6562. Hardcopy applications can be obtained from the front of 3737 W. Sylvania Avenue or may be printed from theonline document center (PDF). Instructions for scanning documents with your phone (Android devices). All applications will be processed as normal and clients will be contacted via phone if a phone interview is being scheduled, or if there are questions.LCDJFS Non Discrimination Statement (PDF). xJ I hereby docHub that I do not individually receive income from any of the following sources: a. <> If more than one person is paying expenses, Many updates and improvements! These callsare not generated by the State of Ohio or any of its agencies. Sample 1. Change the template with exclusive fillable fields. 4671 0 obj <>/Filter/FlateDecode/ID[<00715AC36D6E7BB25E28E4D82779DCB8><6970A92EDBC4B94B921FED2C6ACDC91D>]/Index[4425 450]/Info 4424 0 R/Length 476/Prev 849467/Root 4426 0 R/Size 4875/Type/XRef/W[1 3 1]>>stream Bank statements. Bp$PZj"_6kx5N0Q_D=_'\\D@V.DE.5vgyc=Vp7U{I &/YXiHe0T>t+_kq4E IUDkYWKf#V7x /Ls]t`;*ErJ{vTuEG3oo{xKKY!yS+A\FL~9(H Vqt ;jZ:D $tfYwS_N.xz'q#1GE}aE5B|D+ di>Bs[}+uFTSfj}[Wt&QI 2>g( $wO nnVq =LRP k1jUI4&1.>I"]!AIn'xC8C8WkL=ch+g+%)uzmFk^V:HA9(AJnu3T1E/]_/B'=$R b>[F4#Z-@iG(KG:kmj6nk=i5Q>ty/y.Nv2. Graduate PIPP Plus, customers pay an average of their most recent PIPP Plus amount and a budget billing amount calculated by their utility. Natural gas: $10 or 5 percent of your gross monthly household income each month, whichever is greater. You must provide proof of your gross monthly household income for the last 30 days. The document must be filled in by the employer providing information related to the employees work schedule, hours worked per week (on average), hourly rate ($/HR) or salary, and any bonuses or tips Graduate PIPP Plus customers who make payments on-time and in-full will continue to receive credits toward their monthly bill balance and a 1/12 credit to their old debt. hb`````jf YY8$ m7Y0?`%A3IFYmku2q10^{H20 `` ;@ ~q WebOHIO HOUSING FINANCE AGENCY ero Income Verication PC-15 evised on 02122021 Page 1 of 1 I, , do hereby certify that I am currently receiving no income from any source. Federal guidelines require that zero/low income information reported on the FAFSA be verified. endstream endobj startxref Disability insurance. Lump sum payments to Ohio Department of Medicaid (ODM), should be sent to the following address: OH Dept of Medicaid/Lump Sum L-3676, Columbus, Ohio 43260(With your check, include a cover letter with your name, SSN, case number, and reason for submitting the check). You must provide proof of your gross monthly household income for the last 30 days. Please contact us with any questions at 614-251-4778 or [emailprotected] Submit completed form to: Financial Aid Office, Ohio Dominican University, 1216 Sunbury Road, Columbus, OH 43219 0 Use of the information collected based on this verification form is restricted to the purposes cited above. HF'XXiCU^%-]/rD0uo#9KNU K! Currently, self-scan stations are not available. WebI have been hired for a new job or I will be receiving another source of income soon. Share sensitive information only on official, secure websites. QUALIFIED INCOME TRUST VERIFICATION. Renewals for Medical Assistance are still required annually. <> that false or omissions are forms for disqualification and/or may be prosecuted under current laws for accepting food for which I am not eligible. %%EOF <> You will have one billing cycle to make up those payments, or you will be removed from PIPP Plus, and your entire bill balance may become due. cL>I)|3_8IXMqZ Ug=/h D$ {H;'^+gF&@l@ Xly:"c)N%-^2[A0_Zn! TheDivision of Child Support establishes parentage, enforces support orders, and collects and disburses child support in order to ensure that families receive the financial support to which they are entitled.To check case status or verify benefits call: 1-844-640-6446.Submit verifications via email (Please include a case or social security number on documents. HW[oF~8\IE@&QQt>$W+#5q8g\sd\}O+6wt?VS]*cHx7uX+qenI,W-MgO_t6}hqOb=f ]O$TTY_4[M.2r(;R6d]h%6Vlgt*-eg8oi(;E] Medicaid does not require an interview. WebThe statement should note how much money is provided, how often, and if the money is given to you or paid directly to your creditors. Do you do any odd jobs like field work, babysitting etc.? I also give the Housing Authority of the City of Vidalia permission to verify all the above information and allow them to contact people listed above. For additional information, refer to the HOPWA Program Administration Toolkit. Interest or dividends from assets. Applications Application for Ohio Works First, Disability Assistance, Refugee Cash, Search for a different application on Forms Central Brochures nbsp. endstream endobj 429 0 obj <>stream When asked, enter the 8-Digit Application ID (APP ID). ); If you believe that this page should be taken down, please follow our DMCA take down process, 17 Station St., Ste 3 Brookline, MA 02445. No. 1099 form. WebForms; Open Funding Opportunities; Links; Housing Invoices; Training & Events. WebFor proof of Eligibility or Income Statements: Call 1-844-640-6446 or email your request (type "Income Verification" in the subject line and include your case number/SSN). By using this site you agree to our use of cookies as described in our, certification of zero income california rent relief. 451 0 obj <>/Filter/FlateDecode/ID[<2C8D4DD24E242348A022A5F07CF2DFAA><9F3CE4542BD4DC47B31D210608F5FFBD>]/Index[425 45]/Info 424 0 R/Length 122/Prev 168136/Root 426 0 R/Size 470/Type/XRef/W[1 3 1]>>stream endstream endobj startxref Handling documents with our feature-rich and user-friendly PDF editor is easy. At this time, you may be placed on Graduate PIPP Plus for 12 months. n ::M:A`OW\-vR*&3jn@PZ=2Y:?1:X>]_NG=R.gtt "/=FeZft;=qV3m ]gSI,724}\)p^mD0|o|Coc:}O'W^;*Y9~atENqxfQz$/P&btiyVxW0_SiZo%Vqkiuo5#]i(% 0 Form Type: Rental Related Definitions Declaration of Income means the declaration to be completed by a Resident as evidence of the Income of that Resident. Enter your official contact and identification details. Wages from employment (including commissions, tips, bonuses, fees, etc. If you're asked to log in with an OHID - the state's best-of-breed digital identity - your privacy, data, and personal information are protected by all federal and state digital security guidelines. You must make up all missed payments that you owed when you were dropped from PIPP Plus. Median household income and taxes. ); b. State & local sales taxes 01. 5!+jqkM+' 7lF_J)A9},#w>K}Kd\1DIO8l{h%sZyEawEJ=EZH[,YWc;$Nbv.m,0>FB3}4;uTgla2XU*GN3aQ"!%Ua(T=VsIfOEq}gF[^wdg8,-!6T~;z2 >.;06BFxi I also give the Housing Authority of the City of Vidalia permission to verify all the above information and allow them to contact people listed above. The declared income (or tax income) of the household (in the tax sense) is made up of the resources mentioned on the income tax return, known as the 2042 return. 2023 LIHTC Compliance Virtual Workshop #2; Cert-of-Zero-Income.pdf. The Percentage of Income Payment Plan helps make utility bills more affordable. CLAIM OF ZERO INCOME IN HOUSEHOLD. DocHub v5.1.1 Released! Violation of these provisions are cited as violations of 42 U.S.C. Wages from employment (including commissions, tips, bonuses, fees, etc. hbbd```b``:"2"9 2 D/X2,@a rv6 ov1rHp]Y5L r You may request to be taken off PIPP Plus at any time. Please list the Head of Household information below. `p+:rI-!rkIFz-u_Hm6t6TY2\?- [wd(KA99kF:&@~ |:dy. The reverification date is the actual date on which you complete documentation of your household income and size. W2 form. HCJFS 4180-A. Post PIPP Plus is only available in the 12 months immediately after a PIPP Plus account is closed. INDIVIDUAL INFORMATION Individual Name. WebODM 07216. Reverification must occur no more than 12 months from the previous reverification date. I understand this <> According to the Federal Food and Nutrition Service, Ohio is among a number of states being targeted by criminals stealing Supplemental Nutrition Assistance Program (SNAP) benefits. /eICV#RbKmKdF,A:-%?l6SF 245.J)a'gH-+d16n9^BkQu!6OUJUUU$b5ZUr3yM<2*FWF May be completed and signed by the applicant whose household has had no income for the past 30 days. Income from the operation of a business; c. Rental income from real estate or personal property; d. Pro-tip: Ask for at least two forms of proof of income documents, especially from applicants who are self-employed. Income from the operation of a business; c. Rental income from real estate or personal property; d. Pro-tip: Ask for at least two forms of proof of income documents, especially from applicants who are self-employed. ODM 03528. rlST E'wvgE4MR6x/l$6VFX lqb4|lD]*nb2H0Am~Y}+5!2dKyP_bZs.PteVDzlpD( > F|8,My)?w{Z# as xrUT$,k5T/4pGU(s5zi)tm)Ew(]"^I". Lucas County Department of Job & Family Services (LCDJFS) provides services such as TANF (temporary cash assistance), SNAP (food stamps), , subsidized Childcare, APS (adult protective services), and PRC (prevention/retention/contingency funds). One Government Center - Toledo, OH 43604 - Phone: 419-213-4000. To check case status or verify benefits call: 1-844-640-6446. Some small gas companies are not required to offer Graduate PIPP Plus. If youre self-employed, you can show proof of income in the following ways: Use a 1099 form from your client showing how much you earned from them. stream Your child must also be enrolled at a school. Print Marriott Discount Authorization Form, Columbia credit union direct deposit form. Your first payment is due when you enroll in PIPP Plus. 7 0 obj The system is You can also download it, export it or print it out. You can also access statements on the Self Service Portal Income includes but is not limited to: wages, self-employment, Social Security, TCA/TDAP, Unemployment, monetary gifts and loans. However, depending on an applicants employment status, supplemental forms like Social Security statements or profit and loss statements can provide proof of earnings. I hereby docHub that I do not individually receive income from any of the following sources: a. 3. WebIM 450 - Zero Income Statement Sign form to declare you have no source of income and list last date/source of income English: Submit Online | Print PDF Spanish: Aplicacin en lnea | Contact your utility company for learn more about PIPP Plus or extended payment plans. By my signature I certify that the information I have provided above is true and complete. If youre self-employed, you can show proof of income in the following ways: Use a 1099 form from your client showing how much you earned from them. Post PIPP Post PIPP Plus is a 12-month payment plan for former PIPP Plus or former Graduate PIPP Plus customers who are no longer customers of the utility but still have an arrearage. %%EOF You can also apply for benefits or check case status: Your applications and documents will be scanned and added to your case in a timely manner. :<9+[RJ'o?kDn7{$Sn@t P4D]#) % ^ 68l7ZSS1sNHK\X_1~s\nZNzUqdn/tgG'hUOM6827\ b^rDewq/ImBJEywWf?Ss`,w!E&0 ;;i;;A24\ Vq;H*j4*UTo>SD7QvLV)Pe9kXEl~f?UMf;v'cUtAZ{v 3d# UMOQ% Customers will not report their income if it increases. May be completed and signed by the applicant whose household has had no income for the past 30 days. The form should be completed prior to admission and at recertifications. Disability insurance. How do I know if I am income eligible for PIPP Plus? WebZero Income/Student Statement INSTRUCTIONS FOR SIGNING DOCUMENTS ONLINE PROPERLY IDENTIFYING THE APPLICANT AND MEMBER 1) APPLICATION ID. 2. [xi\""R$Dm%K^b!Nl,XY%"+&JqTE 2D]6W`c(E6BoWq8bIoTNHt :xN2uom@\#?l8yEg16& yBN6 1I0 2 0 obj Thisprogram provides customers with a 12-month transition from PIPP Plus to full payments. Make the most of DocHub, the most straightforward editor to quickly handle your documentation online! Instructions for scanning documents with your phone (Apple devices). I, Your name my household has received any source of income during the past 30 days. >nh K9W@$pv8\YkWg!|>%C&NXJ&GUGUrV%C!]#,o5Bl+Vq h$"]H@ dmpDAW[k(u (ORDER FORM) Application for Health Coverage & Help Paying Costs. Median household income and taxes. ); b. Please This Checklist and Worksheet is to be completed for all families whose Total Tenant Payment equals the Minimum Rent, or, for all families reporting less than $250 per month in total income. If you paid a deposit in the past, that amount will be used to reduce any debt you owe the utility company. WebZERO INCOME VERIFICATION. When PIPP Plus payments are made on-time and in-full, customers earn an incentive credit and an arrearage credit. Unemployment documentation. Federal guidelines require that zero/low income information reported on the FAFSA be verified. By my signature I certify that the information I have provided above is true and complete. LCDJFS is open to the public for Limited Lobby Services and to inquire with the partner offices in the main lobby. You also receive a 1/24th credit toward any old debt. Tax returns. 3 0 obj Rental income from real or personal property. Send zero income statement via email, link, or fax. Pay stubs. 425 0 obj <> endobj WebIncome Verification may be mailed or submitted electronically. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Your anniversary date is the same every year. No, but you will not receive the incentive or arrearage crediting benefits that come from paying your PIPP Plus payment amount on-time and in-full. endobj In addition, you must pay missed installments for the months you were not enrolled on PIPP Plus but maintained service. Web5. Include pertinent information like the last four The Ohio Department of Education administers this scholarship program. !a}R,oG#KolPE7TDG*Jkj_U,= Your child must also be enrolled at aparticipating school. Income Verification is one step in the scholarship application process. Open it up using the online editor and begin editing. WebYou have not provided any income information at this point in the application. WebThe Income-Based Scholarship is funded directly by the State of Ohio. Income from the operation of a business. The arrearage credits will be recalculated at the anniversary date if applicable. C"[3ADU`HMmy}%.=tERZ]x%`b[Peb-9PB\VIWb$4/Z~ w.P{SPLp"XE/vn(]s"9`[a\Qm AB ccmRw%1%xjq :@9^t^$S9s/]aH`[55;5|BzS/ROqp1HiCD*RF[ue C10< Yes. %PDF-1.6 % WebDescription. WebIf you (or a member of your family/household) receive any income or benefits, write the amount received per month and the name of the family/household member who receives it. WebOhio Department of Medicaid QUALIFIED INCOME TRUST VERIFICATION INDIVIDUAL INFORMATION Individual Name Date of Birth Case Number Date Trust Established ODM 10193 (Rev. Send zero income statement via email, link, or fax. Sign it in a few clicks. be ready to get more 1. A lock or https:// means you've safely connected to the .gov website. <> This site uses cookies to enhance site navigation and personalize your experience. Electricity: $10 or 5 percent of your gross monthly household income each month, whichever is greater. Many updates and improvements! There are no deposits for PIPP Plus households. You are required to pay a $10 minimum monthly payment for both natural gas and electric. Tax returns. .M dS^HO1XFuQ&$ oHX&Rf`/M^ 2EwR8qW. hX[oF+jbi hMvfWnb316'Vm3(-#JKhM6pDZ#\+N xF:-8taGp You may re-enroll as long as you still meet the income requirements. irS}QW,WDDAT?^Zf'ubl\P-g7 qgL Lucas County Department of Job & Family Services (LCDJFS) provides services such as TANF (temporary cash assistance), SNAP (food stamps),Medicaid (medical assistance), subsidized Childcare, APS (adult protective services), and PRC (prevention/retention/contingency funds). WebA household applying for PIPP must report total gross household income for the past 30 days (12 months preferred) for all members, except wage or salary income earned by dependent minors under 18 years old. Please report these calls to the State of Ohio Attorney General's office at 1-800-282-0515 or online. If no income information is provided, processing of your Medicaid benefits may be delayed. State & local sales taxes 01. Pay stubs. 4 0 obj Yes. If you can't find an answer to your question, please contact us. Pay stubs, tax returns, bank statements, and a letter of employment are the most common and best proofs of income. 4/2019) Ohio Department of Medicaid QUALIFIED INCOME TRUST VERIFICATION INDIVIDUAL INFORMATION Individual Name (Last, First, MI) Date of Birth For proof of Eligibility or Income Statements: Call 1-844-640-6446 or, Important updates and additional community programs/services are shared on our. The Income Verification form with supporting income documents may be mailed to the Ohio Department of Education, Scholarship Program Office 25 S. Front Street, Mail Stop 309, Columbus, Ohio 43215-4183. X5I+;&;NpQe*C'[0uAawfi`B"ad6cb>Ig4)2w=%F{v=fM]O"llK9bD~-^l9oP{%=ir>'>?eX~N5}R^>/ii[p-]RnN3 - (%eCU |/ ms(PC%XxK $zK,y[eXLspYusUd IF fz! HCJFS 5166-B. Web1. WebHCJFS 3277. ); If you believe that this page should be taken down, please follow our DMCA take down process, 17 Station St., Ste 3 Brookline, MA 02445. HOPWA program regulations require verification of all income from participating households. WebIf verification is not complete by this date, you will not be eligible for part or all of your financial aid funds. Type text, add images, blackout confidential details, add comments, highlights and more. All applications and documents will be processed as normal. The family is required to submit documentation of amounts claimed. Y *JE1 You can also download it, export it or print it out. Authorized Representative Designation. endobj WebOhio Department of Medicaid. Bank statements. If your account is closed and you are moving outside of your current service territory or to a location where you do not need utility service in your name, and you still owe money to the utility company, you may qualify for Post PIPP Plus. I, hereby docHub that I do not individually receive income from any of the following sources: a. Submit completed form to: Financial Aid Office, Ohio Dominican University, 1216 Sunbury Road, Columbus, OH Any assistance paid in error must be returned to HUD. INS Form I-94 if annotated with either: a) Sections 203(a)(7), 207, 208, 212(d)(5), 243(h), or 241(b)(3) of the Immigration and Nationality Act: or b) One or a combination of the following terms: Refugee, Parolee, or Asylee 6. The anniversary date is the calendar date that you must be current on any missed PIPP Plus payments. In the past twelve months, have you had any income from any source? Web1. The declared income (or tax income) of the household (in the tax sense) is made up of the resources mentioned on the income tax return, known as the 2042 return. Some small gas companies are not required to offer Graduate PIPP Plus. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. WebA Zero Income Statement is used by individuals or household members to prove that they had no income and require financial assistance. ODM 4425 0 obj <> endobj If you were under a contract with a marketer, they may assess an early termination fee if you switch to PIPP Plus before your contract expires. If you can't find an answer to your question, please contact us. If you have circled N for each source of income in section A, and you do not expect to have any source of income in the next 12 months, explain how you will pay for the following: Declaration of Income means the declaration to be completed by a Tenant as evidence of the Income of that Tenant. An IEVS match is wage income, resource, and benefit information that has been requested by the Ohio department of job and family services (ODJFS) or county agencies. Since the customer is required to reverify any change in household size and income, the customer's reverification date may change from year to year. A wage verification form may be used by any private or public organization seeking the confirmation of income by an individual. 4874 0 obj <>stream This site uses cookies to enhance site navigation and personalize your experience. Type text, add images, blackout confidential details, add comments, highlights and more. We have answers to the most popular questions from our customers. o|Mr+A=vmyu^x~9c-mmR`18Xl7jKP*~$v,Uhyz9.pBewbNTwV5G,[Wn)({G4Mdp_;A+-Y{*I[R4s[n%mx%f{_Em[FF&ZFu-iUv9v9)`D The Consolidated Appropriations Act of 2023, which was unveiled and passed by Congress in late December and signed by the President on Thursday, December 29th, contains several provisions of significance that are designed to end pandemic-related policies in SNAP and Medicaid. Provide bank statements that show money coming into the account. Households with a gross yearly household income at or below 175percent of the federal poverty guidelinesare eligible to participate in PIPP Plus. Penalty provisions for misusing the social security number are contained in the Social Security Act at 208 (a) (6), (7) and (8). Provide bank statements that show money coming into the account. endstream endobj 426 0 obj <>/Metadata 6 0 R/Pages 423 0 R/StructTreeRoot 10 0 R/Type/Catalog>> endobj 427 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 428 0 obj <>stream Customers who become income ineligible for PIPP Plus, but are current on their PIPP Plus payment, will be placed on Graduate PIPP Plus. }wl>'g~Aif} nEuVXAnr;=0.X6I#(&g !j@}zkr+2N|a3fa5lnfh AU/_|bgbv9R^C0voG~\{;`pz{e?1|6kl88[y jai1"V8[8*PQ%v If you are participating in a customer choice program, and you enroll in PIPP Plusthen you will automatically be switched to the utility. Include the particular date and place your e-signature. Include pertinent information like the last four Click Provide documentation no less than once every 12 months that your gross monthly household income (and size) is at or below 150 percent of the federal poverty level. Due to staff shortages please be aware of long wait times on the phone for Applications/Interviews.

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