Low Income Templates

This form is used for claiming a sales tax exemption on electricity for low-income customers in Arkansas.

Parties to a court case in the United Kingdom may use this form if they cannot pay all or a portion of their court fees.

This is a formal IRS statement a housing credit agency is supposed to complete to inform the fiscal authorities about the total amount of housing credits their entity has allocated during the twelve months outlined in the form.

This form is used for evaluating the economic means of low-income households in Illinois to determine eligibility for rental assistance.

This form is used for adding a utility allowance to a LIHTC lease in Arkansas.

This document certifies chronic homelessness status in Georgia, United States.

This document is for gathering information about grant recipients in Nebraska. It provides details about the organization or individual receiving the grant.

This form is used for requesting permission to proceed with a legal case without having to pay court fees in Nebraska. It is available in both English and Arabic.

This form is used for notifying individuals in Texas about actions taken regarding their Medicaid benefits.

This document lists the different groups of people who may be eligible for Medicaid coverage in the United States.

The purpose of this type of sample letter is to provide financial information about an individual and support their enrollment application for the Medicaid program.

This Form is used for applying for energy assistance in the state of Maryland.

This Form is used for applying to the Low Income Home Energy Assistance Program (LIHEAP) in Citrus County, Florida. LIHEAP provides assistance to low-income households for paying energy bills.

This form is used for declaring hardship related to family planning or Title X services in New Mexico.

This document is an application for the Iowa Low-Income Home Energy Assistance Program and Weatherization Assistance Program. It is available in the Burmese language for individuals in Iowa who qualify for low-income assistance with their home energy expenses and weatherization services.

This document is an application form to request the services of a public defender in Minnesota. It is available in both English and Karen language.

This document is a financial questionnaire used in New Jersey to determine indigency eligibility for individuals who speak English or Haitian Creole.

This form is used for entering into a loan contract and trust agreement for low- and moderate-income sponsor assistance under the Federal Housing Administration (FHA) program.

This form is used for reporting family information in the context of the Moving to Work (MTW) Expansion program.