Get Lieap Application - Dphhs Home

The Low Income Energy Assistance Program (LIEAP) application is designed to help eligible households receive assistance for energy costs. This guide provides clear instructions for completing the application online, ensuring that your submission is complete and accurate.

Follow the steps to successfully complete the LIEAP Application online.

1. Press the ‘Get Form’ button to access the application form and open it in your editing program.
2. Begin by filling out Section 1, which requires your household address information. Make sure to provide both the physical and mailing addresses accurately, along with contact numbers.
3. Move to Section 2, where you will list all household members. Ensure that you include all individuals residing in the home, regardless of their relationship to you. Pay attention to the requested information, including names, birth dates, and Social Security numbers.
4. In Section 3, provide information about your housing type. Indicate whether you rent or own your home and provide the number of bedrooms.
5. Proceed to Section 4, where you will need to attach a copy of your most recent home energy bill. Indicate your primary and any secondary energy suppliers along with relevant account numbers.
6. In Section 5, check all income sources for all household members for the past 12 months. Ensure accuracy and inclusivity by listing every source, such as TANF, Social Security, and employment.
7. Move to Section 6 to document the income of household members, providing detailed amounts for Gross Income over the last 12 months for each individual.
8. In Section 7, report on household resources, including cash and checking accounts, savings, and any other relevant financial resources. Verification of these resources must be included.
9. Complete Section 8, providing information on the education status of household members, specifically regarding any college enrollment.
10. Section 9 requires signatures from the head of the household and all members aged 16 or older. Make sure to read the authorization and confidentiality information before signing.
11. Once the application is complete, review all entries for accuracy. Save your changes and then download, print, or share the completed form as needed.

Begin your application by completing the LIEAP form online today to ensure timely processing.