WAFF 2026 Application Form

II. Income Eligibility: Zero Income
Are you reporting zero income?*

YesNo
If you are reporting zero income, please enter 0.*
Upload your notarized Zero Income form. *

This notice must be current from the past 30 days. Please use PDF, JPG, or PNG format.
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Thank you for completing your Zero Income information. Please click NEXT.
Are you currently employed?*

YesNo
Please list your employer, as their name appears on your pay stub.*
How much was your 30-day income from your employer?*
Please upload proof of income (i.e., a paycheck stub) from the past 30 days.*

This notice must be current from the past 30 days. Please use PDF, JPG, or PNG format.
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Do you have Social Security income to report?*

YesNo
How much do your receive from Social Security per month?*
Please upload a Social Security statement from the past 30 days.*

This notice must be current from the past 30 days. Please use PDF, JPG, or PNG format. PLEASE DO NOT UPLOAD SOCIAL SECURITY CARDS.
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If you are not reporting employment income or Social Security income, you must download a Zero Income form, have it notarized, and then upload it to your application.
Thank you for completing the Employment and Social Security Income section. Please proceed to the Personal Data section.

III. Personal Data

Please tell us about yourself.
Full Name*

First NameLast Name
What form of official ID will you be providing? Please select one.*

Drivers LicensePassportState-Issued ID CardMilitary IDPermanent Residence Card (Green Card)Employment Authorization DocumentOther Government-Issued ID
Please upload your ID. *

Please use PDF, JPG, or PNG format.
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Home Address*

Street Address

Street Address Line 2

CityState / Province (DC, MD, VA)

Postal / Zip Code
You must live in Washington DC, Maryland, or Virginia to apply for WAFF assistance. Please enter an address in DC, MD, or PA.
Please enter your email.*
Please list your current age.*
Date of birth*

MonthDayYear
Do you rent or own your home?*

RentOwn

IV. Your Household Information
How many people live in your household?*
How many adults (18 or older) live in your household?*
How many children (under 18) live in your household?*
How many people 65 or older live in your household? *
How many veterans live in your household? *
If you receive WAFF assistance, would you like to be a WAFF testimonial?*

YesNo
Please tell us how WAFF has helped you. What situation were you facing? How did we help your family stay warm? Why would you recommend WAFF to another family? How can we serve you better?*
We will contact you and confirm your approval before publishing your story. Testimonials do not include personal details and refer to you only by last name (Ms. Shipman, Mr. Flores, etc.) If you provide a photo, you can also request a free custom avatar for use with your testimonial.
We would love to include your photo in your testimonial. Please upload here.

Please use PDF, JPG, or PNG format.
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Do you have pets?*

YesNo
If Yes, would you like to have your pet featured as a WAFF Pet?*

YesNo
Please tell us about your four-legged family member! Name, nicknames, favorite foods? Funny personality quirks? A story that shows their personality? *
We will contact you and confirm your approval before publishing your pet's profile. Pet profiles do not include personal details about your family and refer to your pet by the name you provide (Lucy, Thor, etc.)
Please upload your favorite photo of your pet here.*

Please use PDF, JPG, or PNG format.
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WAFF Application Form

I. Basic Eligibility Requirements

II. Income Eligibility: Zero Income

III. Personal Data

IV. Your Household Information

V. Demographic Information