Energy Assistance (EAP) Application
Application
Click on a PDF below to download an application.
For an application in another language click here
2022 – 2023 EAP Program starts September 1, 2022
Energy Assistance Verification Forms
- Self-Employment Income Cash Accounting Form
- Verification of Income & Expenses (VIE)
- MVAC EAP County Assistance Verification
- MVAC EAP Employment verification
What Are The Eligibility Requirements?
You must be income eligible (guidelines below)
| # in Household | Gross 3 Months Income | Annual Income |
|---|---|---|
| 1 | $7,643 | $30,582 |
| 2 | $9,994 | $39,976 |
| 3 | $12,346 | $49,384 |
| 4 | $14,698 | $58,792 |
| 5 | $17,050 | $68,200 |
| 6 | $19,401 | $77,604 |
| 7 | $19,842 | $79,368 |
| 8 | $20,283 | $81,132 |