Eligibility Questionnaire for the Temporary Aid to Climate-Impacted Deserving Poor Benefits Program

Ashley Shelby

Eligible Impacted Individuals who have been granted Designated Pauper status may receive up to three months of federally funded carbon credits, food vouchers, and housing assistance under the Temporary Aid to the Climate-Impacted Deserving Poor Program. All applicants must have a Climate Refugee Resettlement Number (CRRN) and be registered with the United States Department of Environmental Migrant Management. This form must be filled out in the presence of a Citizen Anti-Fraud Monitor and notarized. All answers are Yes/No and must be answered truthfully under penalty of perjury.


1)     Are you a citizen of the United States?

        If No, do not continue


2)     Have you been convicted of a misdemeanor or a felony?

        If Yes, do not continue


3)     Have you ever received or sold stolen Personal Carbon Allotment (PCA) cards?

        ​If Yes, do not continue


4)     Did you complete the federally required education module “Protect Your Children        

        By Not Having Them”?

        If you have internet access and answered No, do not continue; if you do not have internet access and answered         ​         No, see the Citizen Monitor for further instruction before continuing.


5)     Are you or have you ever been one of the following subgroup of Late-Stage Denier:     

       Rapture Denier (you believed climate change was real but that it was “God-

       caused”); Bought Denier (you received compensation for arguing for “natural vari                     

       ation”); Legacy Denier (you were psychologically damaged by the cognitive dis

       sonance resulting from decades of far-right media indoctrination followed by the 

       catastrophic effects of First Impact and can provide documentation from a licensed 


        If Yes to Rapture Denier or Bought Denier, do not continue. If Yes to Legacy Denier, see Citizen Monitor for                         additional paperwork before continuing.

6)     Do you have a food-bearing garden: windowsill garden, rooftop garden, backyard 

        garden, a plot in a community garden?

        If Yes, continue. If No, continue (this is a demographic question that has no bearing on your eligibility)


7)     Do you agree with the following statement: “The welfare of each Impacted Indi

        vidual would best be promoted by having him solve his own problem through nor

        mal banking and commercial channels?”

        If Yes, continue. If No, see the Citizen Monitor for reeducation materials before continuing.

When you have completed this form, please bring it to the Citizen Anti-Fraud Monitor, who will notarize it and provide you with the application form (if eligible). Please note that benefits are not guaranteed and are granted at the discretion of the Department of Environmental Migrant Management. Citizenship status, criminal background, and the applicant’s Personal Documented Climate Change Rhetoric Score will be assessed by the Domestic Refugee Solutions Committee in conjunction with your application. 

Ashley Shelby is the author of South Pole Station: A Novel and Red River Rising: The Anatomy of a Flood and the Survival of an American City. Her novel was one of Shelf Awareness' Best Novels of 2017, a New York Times Book Review Editors' Choice, and one of Millions' Most Anticipated Books of 2017. More information can be found at www.ashleyshelby.com.