energy assistance


Documents you can download are listed below:

Avista Release    Gives SNAP permission to electronically access Avista account when account holder is not a primary applicant.
Benefits Verification System Release Form    Authorizes SNAP to review unearned income and verify social security number through DSHS
Employer Income Release    Form for Employer to complete to verify income. Used when there is missing or no paystubs available.
Household Member Income Information Form    Household Members Income Verification Form
Self Declaration and Zero Income Statement    Use this form to self-declare or explain zero income, for each adult (18 and over).
Vera Release of Account Information    Allows SNAP to obtain records detailing electric consumption history, billing information, and payment history from Vera Water and Power.