Pick up

• Complete & Electronically Sign the Application if done online
• Complete & Electronically Sign the Client Home Energy Data Request Waiver (ALL BLANKS MUST BE COMPLETE)
• Include COPY of PHOTO ID for Head of Household or Spouse (Person Signing Application) IMPORTANT NOTE – If you have received assistance within the last 3 years, THIS REQUIREMENT IS WAIVED and a COPY IS NOT REQUIRED
• Include COPY of SOCIAL SECURITY CARDS for ALL household members – IMPORTANT NOTE – If you have received assistance within the last 3 years, THIS REQUIREMENT IS WAIVED/COPIES NOT REQUIRED
• Include COPY of INCOME DOCUMENTATION for ALL household members for the entire prior calendar month (no bank statements) Examples below are a guide, but not limited to:

1. Pay stubs for the entire prior calendar month (determined by pay DATE rather than pay period)
2. Unemployment award letter
3. Social Security, SSI, Disability yearly benefit letter for 2020
4. Child Support, TANF • EXCEPTION, If anyone 18 or over had NO INCOME, Income from Occasional Work and/or received money from family or friends or income not reported elsewhere

• Complete & Sign the Declaration of Household Income. THIS DOCUMENT NO LONGER NEEDS TO BE NOTARIZED. (This Replaces Zero-Income Form) ONLY COMPLETE if anyone 18 or over in the household had NO INCOME for the month prior to application or received INCOME FROM OCCASIONAL WORK (such as lawn care, house cleaning, babysitting, etc.) and/or RECEIVED MONEY from family or friends or INCOME NOT REPORTED ELSEWHERE. CLICK HERE TO DOWNLOAD THE DECLARATION OF NO INCOME FORM.
• If applying for water bill assistance, include your current water bill statement 
• Include COPY of Lease
• Submit Application Packet (only ONE method is needed for submission)
• Mail to JCCEO, ATTN: CSBG Dept., 300 8th Avenue West Birmingham, Al. 35204
• Drop Box the sealed envelope labeled ATTN: CSBG Dept. in the designated outdoor drop box at 300 8th Avenue West Birmingham, Al. 35204, with ATTN: CSBG Dept. on the cover sheet
• Review each page for completeness, sign/date where requested, and include required documents.

Processing your application is our top priority; however, it does take time. You will be contacted by telephone when your application is being reviewed.

Please allow 30 days for your application to be processed. If you have questions, please email csbg@jcceo.org. If you prefer a callback, please leave your name and a contact number for a representative to return your call.