American Rescue Plan Act (ARPA) Assistance Application
Must be either the account holder or authorized user on a residential account
Must be requesting assistance for a service address in the City of San Antonio
Must have an outstanding balance incurred from March 1, 2020 through March 31, 2022
Outstanding balances prior to March 1, 2020 and/or after March 31, 2022 are not eligible
Must be able to demonstrate experience of negative financial impact by COVID-19 crisis by both self-certification of application questions and providing supporting documents
Must provide supporting income documentation for every household member 18 years of age or older.
Income will determine the assistance amount applicants are eligible for and applicants will either fall "Below 125% Federal Poverty Level (FPL)"
guidelines OR "At or Above the 125% Federal Poverty Level (FPL)" guidelines
A form of identification (state Driver's License or ID, passport, etc.)
2020 Federal Tax Return
Paycheck copy or paystub containing amount received
Unemployment statement containing amount received
Copy of Social Security Income (SSI) or Social Security Disability Income (SSD) statement or related document containing amount received
TANF benefits statement or related document containing amount received
VA Service or non-service-connected pension or disability containing amount received
Pension statement or related document containing amount received
Self-employment income-related documentation containing amount received (examples of common businesses include hairdressing, lawncare, day labor, barber, taxicab driver, etc.)
For any adult 18 years or older in the household that is not employed and has not received income of any kind for the previous 3 months, a letter from the individual
attesting to no income must be provided.
Medical financial statements, invoices, or an insurance explanation of benefits document for medical needs that occurred March 1, 2020 through September 30, 2021 may
be provided as proof Outstanding Medical Expenses.
CPS Energy may adjust gross household income downward if applicant provides proof of Outstanding Medical Expenses during the period March 1, 2020
to March 31, 2022, such as prescription medications, dietary supplements, and doctor visits. The documents provided for this can be in the form of
financial statements, invoices, or an insurance explanation of benefits document. The resulting adjusted gross income may be used to determine eligibility
based on the Federal Poverty Level guidelines listed above.