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APPENDIX E

3 Effective: April 1, 2026

LIHEAP Income Inclusion and Exclusion Chart Income types Definition Considered Income? Proof of Income Yes No Income Not Counted By Law- Domestic Volunteer Service Act Title I: Volunteers In Service To America (VISTA), AmeriCorps, University for Action (UYA), Urban Crime Prevention Program X Income Not Counted By Law- Domestic Volunteer Service Act Title II: Retired Senior Volunteer Program (RSVP), Foster Grandparent Program (FGP), Older Americans Service Program (Senior Health Aides, Senior Companions). X Income Not Counted By Law- Domestic Volunteer Service Act Title III: Service Corps of Retired Executives (SCORE)and Active Corps of Executives (ACE) X Income Not Counted By Law- Title V of the Older Americans Act Experience Works, Senior Health Aides, Senior Companions, Volunteer Respite care. X Income Not Counted By Law – Title I of the Workforce Investment Act of 1998 (WIA) Supportive services to WIA participants. Services include transportation, health care, child care, handicapped assistance, meals, temporary shelter, counseling, etc. X Indian Per Capita Judgment Payments Payments made to any tribe or group whose trust relationship with the Federal Government has been terminated and for which Legislation in effect before October 12, 1973 authorized the disposition of its judgment funds. X Informal income Income resulting from occasional sources such as yard work, child care, collecting bottles/cans, donating blood and/or plasma, etc. X Receipts, LHC and/or other local agency form(s). In-kind Income Food or rent received in lieu of wages; food or fuel value for working on farms. X Interest The sum of money paid to one for the use of their money X Bank statement (only if amount is over $200, and is withdrawn).