Print this list and bring the completed form to EAP
Have you exhausted all of the following possibilities?
| ____ WIC
(Women, Infants, and Children)
| ____ DHS – State Assistance
| ____ Fuel Assistance
| ____ Town Assistance
Please bring the following to your EAP/ELF appointment:
___ Bill from vendor( up to two). Note: We apologize, but checks cannot be made out to employee; it must be made out to a vendor.
___ Your current paycheck stub(s) as well as pay stubs from all contributing members of your household.
___ Statements from all checking and/or savings – printed within 7 days of your appointment.
___ Monthly Budget
___ If for vehicle repair, a minimum of 2 estimates
___ List credit card balances & other consumer debts