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The LITE-UP Texas program plays a crucial role in assisting low-income households by offering essential discounts on both telephone and electric services. This initiative helps alleviate some financial burdens through two distinct programs: the Telephone Discount Program and the Electric Discount Program. For eligible customers, the Telephone Discount Program provides a reduction of up to $13.50 on monthly phone bills, effective from the subsequent billing cycle once the application and accompanying documentation are validated. Similarly, the Electric Discount Program enables qualified participants to gain discounts applicable during the five-month period from May to September, contingent on their utility provider choices. To access these benefits, individuals must adhere to specific program rules, including notifying LITE-UP Texas of any changes in circumstances, such as a change of residence or income. Applicants are tasked with completing several sections of the enrollment form, which includes providing information regarding household income and proof of participation in any eligible assistance programs. By understanding the requirements and following the necessary procedures outlined in the LITE-UP application, low-income households can effectively secure important financial relief related to their utility bills.

Tx Lite Up Example

Low-Income Telephone and Electric Discount Programs Enrollment Form (LITE-UP) For Questions, Call LITE-UP Texas toll-free at 1-866-454-8387

Full Name _______________________________

Address 1 _______________________________

Address 2 _______________________________

City, State Zip_______________________________

ABOUT THE PROGRAMS

The Telephone Discount Program

Available to qualified low-income customers.

Also available if a resident member of your household is a recipient of a qualified program.

The Program can provide a discount up to $13.50 off your telephone bill.

Your discount will appear on the next telephone bill after your completed application and documentation have been approved.

The Electric Discount Program

Available to qualified low-income customers.

The program can provide a discount on your electric bill if you live in an area where you have a choice of electricity provider.

The electric discount program is a five month program.

The discount will be on the May thru September bills ONLY, after your completed application and documentation have been approved.

Program Rules

You must notify LITE-UP Texas in writing if you no longer qualify for the discount. Send notice to: LITE-UP Texas, 1779 Wells Branch Parkway, Suite 110B #357, Austin, TX 78728-7022.

You must notify LITE-UP Texas to report any change in address or telephone number.

You must provide a copy of your latest Telephone bill AND Electric bill with this application.

OPlease submit photocopies of all documents, original documents will not be returned.

You must complete the applicable sections below as follows:

OSection 1 – This section must be completed by the person in whose name the service is billed. The person in whose name the electric service is billed must reside at the service address for this electric service.

OSection 2 – If applying for the LITE-UP Program based on income, then your total household gross income must be at or below the applicable level indicated in the application:

You must provide proof of income.

This section must be completed by the person in whose name the telephone and/or electric service is billed.

OSection 3 - If the person receiving the Eligible Benefits is a different resident household member than the person whose name is on the telephone bill, then the resident household member receiving the benefits must complete and sign Section 3. If the benefit recipient is a minor child, then one of the minor child's parents must complete and sign this section for the minor child. The person receiving the eligible benefit(s) must provide proof that he/she participates in one of the eligible programs. Note: This is only applicable to Telephone Discounts.

OSection 4 – The person in whose name the telephone or electric service is billed must complete and sign this section.

SECTION1- Applicant Information

The person whose name is on the Telephone and Electric bills MUST fill out this section. The person in whose name the utility bills appear must live at the service address. For the Telephone discount ONLY, the qualifying resident member must live at the service address.

Name of Telephone Customer: _________________________________________________________

As it appears on your utility bill

(please print)

Name of Electric Customer:

_________________________________________________________

If different from above

 

(please print)

Address: _________________________________________________________________________________

City: ___________________________________________, TX Zip Code: ____________________

Telephone Number: ( __ __ __ ) __ __ __ - __ __ __ __ Social Security Number: __ __ __ - __ __ - __ __ __ __

YOU MUST INCLUDE A COPY OF YOUR LATEST TELEPHONE AND ELECTRIC BILLS

SECTION 2 – Income Enrollment

If applying for the Discount Programs based on income, your total household gross income must be less than the requirements listed below.

HOUSEHOLD SIZE – Total (Include all adults and children residing at this service address)

Number of people living in your household: ___ ___

HOUSEHOLD INCOME WORKSHEET

Your total household gross annual income from all sources cannot exceed these guidelines:

 

Number of persons in Household

1

 

2

 

3

4

5

6

7

8

 

Total Household annual income - Telephone

$15,600

 

$21,000

$26,400

$31,800

$37,200

$42,600

$48,000

$53,400

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Household annual income - Electric

$13,000

 

$17,500

$22,000

$26,500

$31,000

$35,500

$40,000

$44,500

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dollar

 

 

PROVIDE PROOF OF HOUSEHOLD INCOME WITH THIS

 

Income Source

 

Amount

 

 

APPLICATION (provide all documents that apply)

 

 

Wages from Employment as shown on pay

 

 

 

 

 

Copy of most recent pay stub(s) from all employers covering the

 

stub or W-2 Form

 

 

 

 

 

last two months (for all members of the household),

 

 

 

 

 

 

 

 

Your most recently filed tax return (must be signed) or W-2,

 

Social Security

 

 

 

 

 

 

 

 

 

 

 

A signed letter from each employer indicating the level of your

 

 

 

 

 

 

 

 

Retirement Income

 

 

 

 

 

 

 

 

 

 

 

wage,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alimony or Child Support

 

 

 

 

 

Documentation of social security income, Copy of an

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unemployment or Worker's Compensation

 

 

 

 

 

unemployment form with eligibility dates,

 

 

 

 

 

 

 

 

 

Copies of the two most recent unemployment checks

 

 

All Other Earnings

 

 

 

 

 

 

 

 

 

 

 

 

 

Copy of the most recent bank statement showing direct deposit of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

income.

 

 

 

 

 

SECTION 3— Program Benefit Enrollment

Enrollment in any of the programs listed below will qualify you for

Enrollment in any of the programs listed below will qualify you

the telephone discount.

for the Electric discount.

Food Stamps

Food Stamps

Medicaid

Medicaid

Supplemental Security Income-SSI

 

Health Benefit Coverage under Child Health Plan (CHIP)

 

Low-Income Energy Assistance Program - LIHEAP

 

Federal Public Housing Assistance

 

Eligible Resident of Tribal Lands (please indicate which tribe):

 

__________________________________________

 

Tribe Name

 

 

 

Benefit Recipient – Telephone Discount Only

If the person receiving the Eligible Benefits listed above is a different resident household member than the person whose name is on the telephone bill, then the resident household member receiving the benefits must complete and sign Section 3. If the benefit recipient is a minor child, then one of the minor child's parents must complete and sign this section for the minor child. The person receiving the eligible benefit(s) must provide proof that he/she participates in one of the eligible programs.

Name of Benefit Recipient: ____________________________________________________________

Telephone Number: ( __ __ __ ) __ __ __ - __ __ __ __ Social Security Number: __ __ __ - __ __ - __ __ __ __

X

_____________________________________________________

Date: ________________________

 

Eligible Benefit Recipient Signature

 

X

_____________________________________________________

Date: ________________________

 

Parent's Signature if Eligible Recipient is a Minor Child

 

YOU MUST PROVIDE PROOF OF PROGRAM PARTICIPATION WITH THIS APPLICATION

SECTION4- Declaration (please read carefully and sign)

The person in whose name the utility service is billed must complete and sign this section.

By signing this form, I state that the information I have provided in this application is true and correct. I understand that the information provided is subject to audit and investigation by the Public Utility Commission of Texas.

X _____________________________________________________

Date: ________________________

Applicant’s Signature

 

Mail completed application and required documentation to:

LITE-UP Texas

1779 Wells Branch Parkway

Suite 110B #357

Austin, Texas 78728-7022

Form Characteristics

Fact Name Details
Program Purpose The LITE-UP form facilitates enrollment in low-income telephone and electric discount programs.
Telephone Discount Qualified low-income customers can receive a discount of up to $13.50 on their telephone bill.
Eligibility Verification Applicants must provide proof of income and relevant utility bills with their completed application.
Electric Bill Discounts The electric discount applies for five months, specifically from May through September, for those in eligible areas.
Notification Requirement Applicants must notify LITE-UP Texas in writing if their circumstances change and they no longer qualify.
Income Limits Household income thresholds vary by household size, with specific limits established for both phone and electric discounts.
Submission Guidelines Only photocopies of required documents should be submitted, as originals will not be returned.
Completed Sections The form includes four sections that must be completed, depending on the applicant's circumstances and qualifications.
Laws Governing the Program This program is governed by regulations set forth by the Public Utility Commission of Texas.

Guidelines on Utilizing Tx Lite Up

Completing the Tx Lite Up form is an essential step to obtaining discounts on your telephone and electric bills. By following the instructions below, you can ensure your application is processed smoothly.

  1. Gather Necessary Documents: Collect copies of your latest telephone and electric bills, as well as proof of your household income.
  2. Fill Out Section 1: Provide your name, address, telephone number, and Social Security number. Ensure the name matches exactly with what appears on your utility bills.
  3. Complete Section 2: Answer the question regarding your household size and fill out the income worksheet with accurate income figures from all sources, ensuring it stays below the required thresholds.
  4. Provide Income Proof: Attach copies of relevant documents supporting your income claim, including pay stubs, tax returns, or other financial documents.
  5. Fill Out Section 3: If applicable, the household member receiving benefits must complete this section. Ensure all information is accurate, especially regarding participation in eligible programs.
  6. Sign Section 4: The primary applicant must read and sign to declare that all information provided is correct. This step confirms your understanding of the application process.
  7. Send Your Application: Mail the completed form along with all the required documents to the address provided on the form. Use the address: LITE-UP Texas, 1779 Wells Branch Parkway, Suite 110B #357, Austin, Texas 78728-7022.

Ensure all sections are completed thoroughly to avoid delays. After submitting your application, keep an eye out for any communication from LITE-UP Texas regarding your application status.

What You Should Know About This Form

What is the purpose of the Tx Lite Up form?

The Tx Lite Up form is designed for individuals seeking financial assistance through the Low-Income Telephone and Electric Discount Programs in Texas. These programs provide discounts to qualified low-income customers on their telephone and electric bills, helping to alleviate some of the financial burdens associated with these essential services.

Who is eligible to apply for the programs offered through the Tx Lite Up form?

Eligibility is primarily based on income level and participation in certain government programs. Individuals must have a total household gross income at or below the income guidelines provided in the application. Additionally, individuals who are recipients of specific assistance programs, such as Medicaid or food stamps, may also qualify. The specific income thresholds vary depending on household size.

How can I submit proof of my income when applying?

To submit proof of income, applicants must include copies of relevant documents with their application. Acceptable documents include recent pay stubs, tax returns, letters from employers, and documentation of social security income, among others. It is important to ensure that all documents clearly indicate income levels and are submitted as photocopies since original documents will not be returned.

When will the discounts appear on my bill after I apply?

For the Telephone Discount Program, applicants will see the discount reflected on their next phone bill following the approval of their application. The Electric Discount Program applies discounts to the electric bills for the months of May through September, once the application and necessary documentation have been approved.

What should I do if my qualifications change after I have applied?

If an applicant's circumstances change and they no longer meet the eligibility criteria for the discount programs, they are required to notify LITE-UP Texas in writing. Such notifications should be sent to the provided address, ensuring that the organization is informed of any changes promptly.

Is there a specific format for the application?

Yes, the Tx Lite Up form must be completed in sections, including information about the applicant, income details, and benefits participation. Each section must be filled out accurately, and all required signatures must be obtained, particularly if the applicants are minors. Completing the application fully and accurately ensures a smoother review process.

Can I apply if I live in a place where I cannot choose my electricity provider?

Individuals who live in areas without a choice of electricity provider may still apply for the Telephone Discount Program. However, the Electric Discount Program specifically requires that applicants reside in an area with multiple electricity provider options to be eligible for the discount.

How can I contact LITE-UP Texas if I have questions about my application?

Applicants may contact LITE-UP Texas by calling the toll-free number at 1-866-454-8387. This line is available for individuals seeking assistance or needing answers to specific questions related to the application process or program details.

Where should I mail my completed application and documents?

Completed applications and all required documentation should be mailed to: LITE-UP Texas, 1779 Wells Branch Parkway, Suite 110B #357, Austin, TX 78728-7022. Ensure that all materials are sent in a timely manner to avoid delays in processing your application.

Common mistakes

Filling out the Tx Lite Up form can seem straightforward, but several common mistakes can lead to delays or denials in receiving benefits. One major error is leaving out required personal information. Applicants often assume that filling in just their name will suffice, but details such as the full address, city, state, and zip code are essential. Without these, the application may not be processed correctly.

Another frequent mistake involves the section on income. Many people incorrectly calculate their total household income or fail to provide supporting documents. It's crucial to include proof of all sources of income. This includes not only wages but also benefits like Social Security or unemployment. Incomplete documentation can result in immediate disqualification from the program.

Proof of residence is also vital. Some applicants forget to submit copies of their latest telephone and electric bills. The form specifically requires these documents, and without them, the application will be considered incomplete. Remember, only photocopies are accepted, while original documents cannot be returned, so plan accordingly.

In Section 3, applicants sometimes mix up the information. If the benefit recipient is not the same person listed on the utility bills, the correct information needs to be provided. It's essential for the person applying for the benefits to ensure that the right details—such as the benefit recipient's name and social security number—are filled out correctly.

Misunderstanding eligibility requirements also leads to confusion. Some applicants do not realize that they must qualify for specific programs to receive the telephone discount. It’s easy to overlook the requirement of being a recipient of one of the eligible programs. Check the list carefully to ensure qualifications align with your application.

Another mistake happens when applicants fail to notify LITE-UP of changes. If you change your address or your household income changes, it is crucial to update your application. Failure to do so can lead to revocation of benefits, as the program relies on current information to determine eligibility.

Signing the application is another step where errors frequently occur. Many applicants forget to sign the declaration or use a date that's not current. This may cause delays or result in the form being returned. Always double-check that all signatures and dates are legible and correctly filled out.

Incomplete household size information is a common oversight as well. The form asks for the number of people residing at the service address, which affects income eligibility. An incomplete household size may skew income calculations and affect the application’s outcome.

Lastly, applicants sometimes do not keep a copy of their completed form and submitted documents. Safeguarding a copy is essential for your records. In case of any discrepancies or inquiries, having this information would facilitate quicker resolutions.

Be mindful of these mistakes when filling out the Tx Lite Up form. Thoroughly reviewing the application can prevent unnecessary delays and help ensure that you receive the benefits you are entitled to.

Documents used along the form

When applying for the Low-Income Telephone and Electric Discount Programs, there are several documents that often accompany the Tx Lite Up form. These additional forms assist in verifying eligibility and ensuring all necessary information is collected correctly. Below is a list of important documents to consider:

  • Proof of Income: This document is essential for demonstrating that your household income meets the program criteria. Acceptable forms include recent pay stubs, tax returns, or letters from employers detailing wages.
  • Utility Bill Copies: Both a current telephone bill and electric bill must be included with your application. These bills verify that you are the account holder and reside at the address listed.
  • Proof of Program Participation: If you are applying based on receiving benefits from programs like Food Stamps or Medicaid, documentation showing your participation in these programs must be attached.
  • Household Member Verification: If another member of your household receives eligible benefits, their details must be documented. This may include their Social Security Number and proof of their benefit status.
  • Authorization Form: A signed consent form may be required, allowing LITE-UP Texas to access information related to your application. This ensures the verification process is smooth and compliant with privacy regulations.

Gathering these documents ensures that your application is complete and can help expedite the approval process. Being thorough in your preparation can help alleviate concerns and streamline the assistance you receive.

Similar forms

  • Housing Assistance Program Application: Similar to the Tx Lite Up form, this application assists low-income individuals in obtaining housing benefits. It requires personal information, proof of income, and documentation of residency to confirm eligibility.
  • Food Assistance Program Enrollment: This form helps individuals apply for food assistance like SNAP benefits. It also requires details such as household size, income verification, and participation in other aid programs, mirroring the eligibility criteria seen in the Tx Lite Up form.
  • Medicaid Application: The Medicaid application process shares similarities with the Tx Lite Up form, as it necessitates personal and financial information. Applicants must provide documentation proving income and residency to determine eligibility for health coverage.
  • Low-Income Home Energy Assistance Program (LIHEAP) Application: Like the Tx Lite Up form, this application focuses on helping low-income households manage energy costs. Eligibility assessments need proof of income and current utility expenses, ensuring the application process is aligned.
  • Utility Service Discount Application: This document enables consumers to apply for discounted utility rates based on income levels. It parallels the Tx Lite Up form by requiring personal details, proof of income, and a declaration confirming the accuracy of the provided information.

Dos and Don'ts

When filling out the Tx Lite Up form, here are seven important things to keep in mind to ensure a smooth application process:

  • Include your full name and address: Make sure all details are correct and match your utility bills.
  • Provide proof of income: Attach the necessary documents that show your total household income.
  • Complete all required sections: Ensure that each section is filled out accurately by the correct individual.
  • Sign where required: Double-check that your signature is present where needed on the form.
  • Keep a copy for yourself: Always keep a copy of the completed application and all documents submitted.

There are also some pitfalls to avoid:

  • Don't use original documents: Only submit photocopies; original documents will not be returned.
  • Don't ignore changes: If your address or telephone number changes, you must notify LITE-UP Texas immediately.

Misconceptions

Misconceptions about the LITE-UP form can lead to confusion when applying for assistance. Here are seven common misunderstandings clarified:

  1. Only one discount program is available. Many believe the program only offers one discount. In reality, applicants can apply for both the Telephone Discount Program and the Electric Discount Program.
  2. Anyone can qualify for discounts. It is a misconception that everyone is eligible. Qualifying criteria based on income and participation in certain assistance programs must be met.
  3. Applications are accepted year-round. Some think applications can be submitted at any time. The Electric Discount Program is only available for five months, specifically from May to September.
  4. Proof of income is not necessary. Many people wrongly assume there's no need to provide proof of income. You must include documentation of your household’s annual income with your application.
  5. Only the primary billholder can apply. There is a belief that only the person whose name is on the utility bill can apply. However, a resident household member can apply if they are the recipient of qualified benefits.
  6. All documents will be returned after submission. Some applicants think their submitted documents will be returned. Original documents will not be returned; only photocopies should be provided.
  7. Updates to personal information are optional. It’s a common misunderstanding that notifying LITE-UP about changes is optional. You must inform them in writing if your address or qualification status changes.

Understanding these points can greatly enhance the application experience and ensure eligibility for the programs offered.

Key takeaways

Here are some key takeaways for filling out and utilizing the Tx Lite Up form:

  • The LITE-UP program offers two discounts: one for telephone service and one for electric service, available to low-income households and eligible members.
  • You must submit copies of your latest telephone and electric bills along with the application; original documents will not be returned.
  • Make sure the information is accurate and complete. The application must be filled out by the person whose name is on the utility bills.
  • Notify LITE-UP Texas in writing about any changes in qualifying status, address, or phone number to maintain your benefits.