Heating Application

Veteran Program Application

Veteran Heating Assistance Application

Complete the application below to request heating assistance through the Galen Cole Family Foundation and Maine Veterans Project.

Before you begin, please gather your veteran verification, household income information, fuel details, and any contact details for a family member or support person assisting with your application.

Please read all eligibility requirements before submitting. Ineligible or incomplete applications may be denied.

Before You Apply

Must live in Aroostook County, Maine
Proof of veteran status is required
Tank must be less than half full
Eligible fuel types: #2 heating fuel or kerosene
Applications are for one household per heating season

Questions?
(207) 990-3600 x2
Monday-Friday, 9:00 a.m. – 4:00 p.m.

Veteran Program Application

Application

Please complete the application below. All required fields, eligibility details, and supporting information should be reviewed before submitting.

Your Name(Required)
Prefix First Last Suffix
Your Address(Required)
Street Address Address Line 2 City State ZIP Code
How Can We Reach You?
Phone Number(Required)
Email Address(Required)
Enter Email Confirm Email
Military Service Information
Branch of Service(Required)
Upload Proof of Veteran Status(Required)
(DD-214, VA ID card, Military ID, State ID or driver’s license with “Veteran” label, etc.)
Accepted file types: pdf, jpg, jpeg, png, heic, Max. file size: 32 MB.
Military Discharge Status(Required)
Please explain further if you selected “dishonorable” or “general”.
Income Information
Number of People in Household(Required)
How many people currently live in your household (including yourself)?
a. Monthly Salary and Wages
b. Monthly Social Security | Retirement
c. Monthly Social Security | Disability
d. Monthly Retirement | Pension (state, company or other)
e. Monthly Retirement | Military
f. Monthly Military Disability
g. Monthly Federal or State Assistance (ACAP, general assistance, etc)
Monthly Other Income | All Sources (Rental income, investment earnings, etc)
Monthly Total Household Income (Please add all totals from above)(Required)
Please include the total household income for all members of the household from all sources listed above.
Additional Information
Have you ever been convicted of a felony?(Required)
- Yes
- No
If yes, please explain.
Type of Heating Fuel(Required)
Size of Tank(Required)
Current Fuel Oil Level(Required)
Applicants must have less than half a tank when applying. If approved and the tank is later found to be half full or more, a service fee may apply.
- Less than half full
- Less than one-quarter full
- Empty
Current heating fuel provider(Required)
Primary contact for this application (if different from applicant)
Primary contact phone number
Primary contact’s relationship to applicant
Applicant Certification(Required)
By checking this box, I confirm that all information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that providing false or misleading information may affect eligibility for assistance.
- I Agree

Veteran Heating Assistance Application

Before You Apply

Application

How Can We Reach You?

Military Service Information

Income Information

Additional Information

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