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Eligibility, 2605(b)(2) - Assurance 2 2.1 Designate the income eligibility threshold used for the heating component: Add Household size Eligibility Guideline Eligibility Threshold 1 All Household Sizes State Median Income 60.00% 2.2 Do you have additional eligibility requirements for Heating Assistance? Yes No 2.3 Check the appropriate boxes below and describe the policies for each. Do you require an Assets test? Yes No If yes, describe: Do you have additional/differing eligibility policies for: Renters? Yes No If yes, describe: Renters Living in subsidized housing? Yes No If yes, describe: Renters with utilities included in the rent? Yes No If yes, describe: Do you give priority in eligibility to: Older Adults (60 years or older)? Yes No If yes, describe: Households with adults that are 60 years and older will be prioritized over households that fall outside the defination of a vulnerable population. In addition, individuals 60 years of age and older are allowed to apply through a pre-application process earlier than November 1, 2025. Individuals with a disability? Yes No If yes, describe: Households with one or more disabled individuals will be prioritized over households that fall outside the defination of a vulnerable population. Additionally, individuals with documentation of a disability or receiving SSI and SSDI are allowed to apply through a pre-application process earlier than November 1, 2025. Young children? Yes No If yes, describe: Households with children age 5 and under will be prioritized, beginning on November 1, 2025, over households that fall outside the definition of a vulnerable population. Households with high energy burdens? Yes No If yes, describe: The household's energy burden calculation will determine its priority for service beginning on November 1, 2025. Households with the highest energy burden will receive priority. Other? Active Duty and Veterans Yes No If yes, describe: Households with proof of any active duty (full-time) member of the Armed Forces (Army, Navy, Air Force, Marine Corps, Space Force or Cost Guard); Reserve or National Guard members on Active Guard Reserve (AGR); and Veterans will be prioritized, beginning on November 1, 2025, over households that fall outside the definition of a vulnerable population. Explanations of policies for each "yes" checked above: Any household member meeting the vulnerable population description, with proof of priority exhibited, will be prioritized as follows: Individuals 60 years of age and older. • Individuals with a documented disability. • Households with children 5 and under. • Active duty (full-time) in the Armed Forces, and Veterans. • After a households energy burden is calculated, applicantions are prioritized by priority population and then the highest burden. Determination of Benefits 2605(b)(5) - Assurance 5, 2605(c)(1)(B) 2.4 Describe how you prioritize the provision of heating assistance to vulnerable populations, e.g., benefit amounts, early application periods, etc. Any household member meeting the vulnerable population description, with proof of priority exhibited, will be prioritized as follows: Individuals 60 years of age and older. • Individuals with a documented disability. • Households with children 5 and under. • Active duty (full-time) in the Armed Forces, and Veterans. • After a households energy burden is calculated, applicantions are prioritized by priority population and then the highest burden. 2.5 Check the variables you use to determine your benefit levels. (Check all that apply): Income Family (household) size Home energy cost or need: Fuel type Climate/region Individual bill Dwelling type Energy burden (% of income spent on home energy) Energy need Other - Describe: For the Fiscal Year 2026 performance year, THDA will use the FY 2026 State Median Income for Tennessee, adjusted for household size. Benefit Levels, 2605(b)(5) - Assurance 5, 2605(c)(1)(B) 2.6 Describe estimated benefit levels for the fiscal year for which this plan applies. Please note: the maximum and minimum benefits must be shown in the payment matrix. Minimum Benefit $174 Maximum Benefit $750 2.7 Do you provide in-kind (e.g., blankets, space heaters) and/or other forms of benefits?2 Yes No If yes, describe. THDA will allow subgrantees to provide tangible goods. Tangible goods must be provided in-kind, and may not impact the maximum benefit allowed. If any of the above questions require further explanation or clarification that could not be made in the fields provided, attach a document with said explanation here.