Forms

 

  

• Application for Utility & Weatherization Assistance   ---- Aplicacion para Asistencia

 

• Verification of Income 

  To be used if checks stubs are not available

 

• Declaration of Income/No Income Statement 

 ONLY to be used for household members 18 years & older with either no income, self employed income, or pensions where no proof of income can be obtained.

• Landlord Permission Form

  Weatherization only (for households that rent)

 

• Tax Preparation Intake

 

Applications and all supporting documents may be turned in in person, by mail, by email or by fax.

 

Mailing address: PO Box 671, San Angelo, TX 76902

Email address: [email protected]

Fax number: 325-658-3147