FORMS

APPLICATION SUPPORTING DOCUMENTS

In order to expedite the process, please make sure you have the following available when you submit your application:

 

IDENTITY

  • Driver’s License
  • Military I.D.
  • Social Security Card

 

HOME OWNERSHIP INFO

  • Mortgage statement
  • Deed
  • Other proof of homeownership

 

INCOME INFORMATION (Provide 3 months of proof of income)

  • Pay Stubs
  • Social Security Payment Information
  • Disability Payments
  • TANF Program Payment Information

 

MLGW INFORMATION

  • 12 required with the minimum of 3 months of MLGW Bills
  • Signed Energy Bill Release Form with MLGW account number
170 N. Main Street, 4th Fl.
Memphis, TN 38103

Monday-Friday
8:00am-4:30pm
Phone: (901) 636-7366
Paul A. Young, Mayor
Ashley Cash, HCD Director
Patricia Shumake, Manager
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