|
Home
About Us
Advocacy News
ARRA Requirements for CSBG Contractors
Background Info on CSBG
Board of Directors
Board of Directors Meetings
Partners
Possible Consultant Services
Solicitation for Bids-HVAC
Solicitation for Bids-Refrigerators
Contact Us
Information for eligible residents in San Mateo County:
Asset Development
Download Forms
Earthquake Checklist
Emergency Food
Get Info
Healthy Homes Initiative
Home Energy Payment Assistance
Housing Preservation Grant
How We Help
Job Postings
Low-Income Home Energy Assistance Program (HEAP or LIHEAP)
Services
Weatherization
For eligible residents in Santa Clara County:
Santa Clara County
Santa Clara County Home Energy Assistance Program
(HEAP)
Santa
Clara County Weatherization Program
| |
DOWNLOAD
HEAP APPLICATION FORMS
Click the form below so
you can to print it then fill it out. This page is designed to allow you to
download forms without having to wait for them to be mailed or without having to
come into our office.
DIRECTIONS: Click on the
desired document below. If you click on the document below and the document
automatically displays on your screen then click on File and Print (Ctrl+P) to
print the document. If you are asked to Open or Save document then you probably
do not have Acrobat Reader installed on your computer. Click on Acrobat link
below to download and install.
After filling out the
forms please mail them to the address below. Do not fax the form because the original
signature is required to process the forms.
Residents of
Santa
Clara County, click here for HEAP forms.
|
Mail
to:
CAASMC
930 Brittan Avenue
San Carlos, CA 94070
Phone: (650) 595-1342
|
Get
a free copy of Adobe
Acrobat Reader
|
Income Eligibility Limits
| 2010 POVERTY GUIDELINES |
|
|
|
# in H/H |
CSBG
200%*
MONTHLY
|
CSBG
200%*
YEARLY
|
LIHEAP/DOE
75%
State Median
MONTHLY |
LIHEAP/DOE
75%
State Median
YEARLY |
HPG
YEARLY |
HPG
MONTHLY |
PG&E CARE
& ENERGY
PARTNERS
MONTHLY |
PG&E CARE
& ENERGY
PARTNERS
YEARLY |
|
|
| 1 |
$
1,805.00 |
$
21,660.00 |
$
2,482.61 |
$
29,791.32 |
$39,800.00 |
$3,316.67 |
$2,500.00 |
$30,500.00 |
| 2 |
$
2,428.33 |
$
29,140.00 |
$
3,246.49 |
$
38,957.88 |
$45,250.00 |
$3,770.83 |
$2,500.00 |
$30,500.00 |
| 3 |
$
3,051.66 |
$
36,620.00 |
$
4,010.37 |
$
48,124.44 |
$50,900.00 |
$4,241.67 |
$3,000.00 |
$35,800.00 |
| 4 |
$
3,675.00 |
$
44,100.00 |
$
4,774.25 |
$
57,291.00 |
$56,550.00 |
$4,712.50 |
$3,600.00 |
$43,200.00 |
| 5 |
$
4,298.33 |
$
51,580.00 |
$
5,538.13 |
$
66,457.56 |
$61,050.00 |
$5,087.50 |
$4,200.00 |
$50,600.00 |
| 6 |
$
4,921.66 |
$
59,060.00 |
$
6,302.01 |
$
75,624.12 |
$65,600.00 |
$5,466.67 |
$4,800.00 |
$58,000.00 |
| 7 |
$
5,545.00 |
$
66,540.00 |
$
6,445.24 |
$
77,342.85 |
$70,100.00 |
$5,841.67 |
$5,500.00 |
$65,400.00 |
| 8 |
$
6,168.33 |
$
74,020.00 |
$
6,588.47 |
$
79,061.58 |
$75,650.00 |
$6,304.17 |
$6,100.00 |
$72,800.00 |
| 9 |
$
6,791.66 |
$
81,500.00 |
$
6,731.69 |
$
80,780.31 |
$80,174.00 |
$6,681.17 |
$6,700.00 |
$80,200.00 |
| 10 |
$
7,415.00 |
$
88,980.00 |
$
6,874.92 |
$
82,499.04 |
$84,698.00 |
$7,058.17 |
$7,300.00 |
$87,600.00 |
| 11 |
$
8,038.33 |
$
96,460.00 |
$
7,018.15 |
$
84,217.77 |
$89,222.00 |
$7,435.17 |
$7,900.00 |
$95,000.00 |
| 12 |
$
8,661.97 |
$
103,940.00 |
$
7,161.38 |
$
85,936.50 |
$93,746.00 |
$7,812.17 |
$8,500.00 |
$102,400.00 |
| 13 |
$
9,285.00 |
$
111,420.00 |
$
7,304.60 |
$
87,655.23 |
$98,270.00 |
$8,189.17 |
$9,100.00 |
$109,500.00 |
| 14 |
$
9,908.33 |
$
118,900.00 |
$
7,447.83 |
$
89,373.96 |
$102,794.00 |
$8,566.17 |
$9,700.00 |
$116,900.00 |
| 15 |
$
10,531.66 |
$126,380.00 |
$
7,591.06 |
$
91,092.69 |
$107,318.00 |
$8,943.17 |
$10,400.00 |
$124,300.00 |
|
|
|
|
|
|
|
|
|
|
|
CSBG-
For Families with more than 15 members, add
$7480 for each additional member. |
| *CSBG Poverty Guidelines increased from 100% to
200% effective from July 1, 2009 - September 30,
2010. |
|
LIHEAP/DOE
-Annual
income amounts for greater than 15 members,
add 3% for every household over 15
persons |
|
HPG
- Add 8% of 4 person limit for each person in
excess of 8. |
|
PG&E CARE & Energy
Partners - Add
$7,140 for each person in excess of 15. |
For additional information, please contact:
Community Action Agency of San Mateo County,
Inc.
930 Brittan Avenue
San Carlos, CA 94070
Phone: 650-595-1342
Revised 2-2-10 |
Download Employment Application Form
Download Application form for Board of Directors
Click here.
|
