Items You Need for Your Emergency Assistance Appointment

IF YOU ARE MORE THAN 10 MINUTES LATE, YOUR APPOINTMENT WILL BE RESCHEDULED. IF YOU CANNOT KEEP THIS APPOINTMENT, PLEASE CALL 317-788-4810 BEFORE YOUR SCHEDULED TIME.

Please bring the following information that might apply to your case:

• ALL household members 18 years and older must attend the appointment.

• Signature required for ALL household members 18 years and older

• Social Security numbers for ALL members of the household

• Birth Certificate for ALL members of the household.

• Picture ID or drivers licenses for ALL adults

• MUST HAVE signed current copy of your lease/mortgage payment book

• Doctor's statement if not working for medical reasons

• Proof of citizenship/green card

• All bills or record of accounts paid or accounts owed in last 30 days

Proof of income, assets and countable resources for the past 60 days:

• Check stubs or letter from your employer

• Temporary Assistance for Needy Families Program (TANF) Certificate of Action
   along with name and phone number of caseworker

• Social Security, Supplemental Security Income (SSI) or Veterans Affairs (VA) letter of award for All members of the household

• Child support (print out from Clerk's Office)

• Statement from anyone that has loaned or given you money

• Last year's tax return

• Proof of any other income, assets or countable resources

Receipts for Payments (past 60 days)

• Rent/house payment

• Utilities/telephone/cable/satellite service/internet

• Insurance

• Medical bills/medicine

• Loans

• Child care

• Child support

• Auto payment

• Furniture rental/payment

• Back account printout (this is not your bank statement, it is a current (last 30 days) printout you acquire from your bank or online)

• Last years taxes

• Charge accounts

• School fees

• Clothing
                  Information requested pertains to ALL household members    

Intake hours are by appointment only: 9:00 - 11:00 a.m. & 1:00 - 3:00 p.m.
This information is a guide to what may be required to process your application.  This office operates under the Township Assistance Eligibility Standards for Perry Township in addition to the State and Federal laws.

                                                          PRINTABLE APPLICATION (PDF)

Go Back
 

         Office of the Perry Township Trustee
4925 Shelby Street, Suite 300
Indianapolis, Indiana 46227
 Office  (317) 788-4810
 Daniel T. Moriarty                            Fax   (317) 788-4820                        Scott R. Collins
        Township Trustee                                                                                             Chief Deputy Trustee