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This guide provides comprehensive instructions on how to accurately complete the Heat/Energy Assistance application. By following these steps, users can ensure their application is filled out correctly and submitted without delays.

Follow the steps to successfully complete the application.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred document editor.
2. Begin by completing your personal information at the top of the form, including your name, phone number, address, date of birth, and social security number.
3. Indicate if you have received utility assistance from any agency other than TrueNorth by circling 'Yes' or 'No' and providing the name of the agency if applicable.
4. State whether you own or rent your home by circling the appropriate option.
5. Specify the type of assistance you need by checking all that apply: Electric, Natural Gas, Propane, Wood, Fuel Oil, Wood Pellets, Coal, or Other. Include details if necessary.
6. List all household members who reside in your home, including their relationship to the head of household, date of birth, and the last four digits of their social security number.
7. Indicate the employer or source of income for each household member and provide the gross monthly income.
8. If applicable, provide disability information for members of the household, including whether they receive SSI or SSDI, and list their disability type.
9. Answer the energy usage question by checking all actions you have taken to reduce energy consumption.
10. Complete the consent for the release of confidential information section by initialing the appropriate boxes for agencies you permit to share your information.
11. Review the checklist to ensure you have included all required documentation: identification, one month income verification, utility bill, and SER determination notice if applicable.
12. Sign the application to affirm that all provided information is true and accurate, and date your signature.
13. Once completed, save your changes, and submit your application via email, fax, or mail to TrueNorth Community Services.

Complete your Heat/Energy Assistance application online today to receive the support you need.