Weatherization Manual Policies and Procedures Supporting Documents for United States Department of Energy (doe) United States Department of Health and Human Services (hhs) Bonneville Power Administration



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  1. Income and Residence Verification Checklist


  2. I certify that I have seen the following documentation for:



  3. Head of Household



  4. Applicant Address, City, State, Zip



  5. Agency Representative Date



    1. Income Documentation

    1. Source of Verification

    1. Pay stubs for all earned income



    1. Employer statement and phone number



    1. Pensions/retirements



    1. Veteran’s benefits



    1. Educational grants



    1. Interest



    1. L & I statement



    1. Divorce decree(s)



    1. Child support received/paid



    1. TANF



    1. GAU



    1. SSI



    1. Social Security



    1. Bank statement/award letter for months of:



    1. Other



    1. Residence Documentation

    1. Source of Verification

    1. Deed/title



    1. Lease/rental agreement



    1. Subsidized housing lease



    1. Tax statement



    1. Other




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