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2011-12 LDSS-3421 Rev. 6/11 HOME ENERGY ASSISTANCE PROGRAM APPLICATION Home Energy Assistance Program ANSWER ALL QUESTIONS. DO NOT WRITE IN THE SHADED AREAS. PLEASE PRINT CLEARLY AND SIGN THE FORM ON PAGE 5.

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Eligible households can receive one Regular HEAP benefit per season with a maximum of $1,126, depending on their income, household size, how they heat their home and if the household includes a vulnerable family member. Previously, the maximum benefit had been $1,126.

Apply for HEAP You can get additional help by calling the DSS/HRA HEAP unit at 1-718-557-1399 or call the NYC HEAP Infoline at 1-718-557-1399 for the status of your application. You can also get more information on HEAP at ACCESS NYC.

Applications for the HEAP Emergency Benefit close on April 28 or when funds run out, whichever comes first. Download and complete the application. Mail your application to: New York City Home Energy Assistance Program. P.O. Box 1401, Church Street Station. New York, NY, 10008.

For each person in your household you will need one of the following: Photo ID. Driver's license. Birth certificate or baptismal certificate. School records. Passport. Paperwork documenting a disability for anyone in your household.

2022-2023 HEAP Monthly Income Limits Household SizeMaximum Gross Monthly Income1$2,8522$3,7303$4,6084$5,48510 more rows

You may be eligible for an Emergency HEAP benefit if: Type of EmergencyAmountNatural Gas Heat Only$400Natural Gas Combined with Heat Related Domestic$585Electric Heat Combined with Heat Related Domestic$585Non-utility heating fuel (oil, kerosene, and propane)$9002 more rows

Home Energy Assistance Program/HEAP You can get additional help by calling the DSS/HRA HEAP unit at 1-718-557-1399 or call the NYC HEAP Infoline at 1-718-557-1399 for the status of your application.

To check the status of your application, call 800-692-0557.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232