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Mental Health
Important points About Public Health Nutrition
February 2, 2022
by
gecnfp
Income Guidelines
Household Size
1
2
3
4
5
6
7
8
30 Day Gross Income
$2,265
$3,052
$3,838
$4,625
$5,412
$6,198
$6,985
$7,324
LIHEAP ELIGIBILITY REQUIREMENTS
First Name
Enter Your Lastname
Email
Social Security
Address
street address line 2
City
State / Province
Postal / Zip Code
Phone Number
Date
First Time Applying For CEDA?
Yes
No
Gas Type
Heating
Non-Heating
On whose name Gas Bill is?
Date of most recent Gas Bill?
ComED Account Number
On whose name ComEd Bill is?
Date of most recent ComEd Bill?
Housing Type
Rent
Own
How many Bedroom
One
Two
Dwelling Type
Single Family House
1Unit
Rent Amount
AC Type
Central
Window
Ethnic Group
White
African American
Type of Income
Employment
Self-Employment
last 30 days Income
Date of most recent paystub
If no income, how is financially supporting the family?
SNAP Benefit
Yes
No
Medicaid
Yes
No
Number of people in the House in the household
Please specify the Name, Date of Birth, Social Security, and Income of each family member.
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