The client must be at or below 150% of the poverty guidelines (net income) to receive assistance. Current guidelines are listed below:

USDA 2013 Poverty Guidelines for the 48 Contiguous States and the District of Columbia
Persons in family/householdPoverty guideline150%

Required Documentation

Proof of Identification:
Two documents verifying identification

  • Valid driver’s license
  • Photo ID
  • Birth Certificate
  • Voter registration card
  • Medical Card
  • Passport
  • Social Security Card
  • 1040 Form (if working)

Proof of Household Income

  • Pay stubs (one month)
  • Unemployment insurance benefits
  • Worker’s Compensation letter
  • Active Supplemental Nutrition Assistance Program (SNAP)
  • Agreement awarding child support
  • Award letters from the Social Security Administration, SSI, SSDI

NOTE: Households receiving SNAP benefits from the WVDHHR are determined to be low- income and are therefore eligible for CCWVa services.

Documentation verifying your specific emergency assistance need

  • Utility termination notice
  • Formal eviction notice that includes the landlord’s name, address and telephone number, the tenant’s name, the dollar amount owed, the date to vacate.
  • Script for essential prescription medication or original medication bottle with refills (Note: No schedule 2 medications/controlled medications will be considered for emergency assistance by CCWVa.)

NOTE: The name on eviction notice, utility bill, etc. must be of an adult family member residing in the household address.
Those with no household income
Applicant must provide written proof of zero household income

  • Denial letter for Social Security or SSI benefits
  • Financial proof of SNAP benefit
  • Medical verification of inability to work.