For more information about Energy Programs provided by the state of Minnesota please visit www.energy.mn.gov.
2012 – 2013 Energy Assistance Application
English Forms:
Change of Address 2012-2013
County Assistance Release 2012-2013
Direct Spousal Support Release 2012-2013
Disability Verification Release 2012-2013
Employer Release 2012-2013
Income Summary 2012-2013
Interst & Dividend Release 2012-2013
Out of State Unemployement Release 2012-2013
Pension Release 2012-2013
Social Security Release 2012-2013
Tribal Income Release 2012-2013
Unemployment Income Release 2012-2013
Veterans Benefits Release 2012-2013
Work for Rent Release 2012-2013
Spanish Forms:
County Assistance Release – SPANISH 2012-2013
Disability Income Release – SPANISH 2012-2013
Employer Release – SPANISH 2012-2013
Income Summary – SPANISH 2012-2013
Social Security Release – SPANISH 2012-2013
Work for Rent – SPANISH 2012-2013
2012/2013 Income Guidelines:
| 2013 Maximum Energy Assistance Program Income Guidelines 2013 Maximum Energy Assistance Program Income Guidelines Based on 50% SMI or 110%* of federal poverty guidelines, whichever is greater |
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| House-holdSize | Annual Income | 3 month Maximum Guidelines | House-holdSize | Annual Income | 3 month Maximum Guidelines |
| 1 | $22,450 | $5,562 | 11 | $62,900 | $15,725 |
| 2 | $29,097 | $7,274 | 12 | $64,184 | $16,046 |
| 3 | $35,943 | $8,985 | 13 | $65,467 | $16,366 |
| 4 | $42,789 | $10,697 | 14 | $68,915 | $17,228 |
| 5 | $49,365 | $12,408 | 15* | $73,271 | $18,317 |
| 6 | $56,481 | $14,120 | 16* | $77,627 | $19,406 |
| 7 | $57,765 | $14,441 | 17* | $81,983 | $20,495 |
| 8 | $59,049 | $14,762 | 18* | $86,339 | $21,584 |
| 9 | $60,332 | $15,083 | 19* | $90,695 | $22,673 |
| 10 | $61,616 | $15,404 | 20* | $95,051 | $23,762 |