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LDSS3421 (Rev. 6/04) HOME ENERGY ASSISTANCE PROGRAM APPLICATION Home Energy Assistance Program IMPORTANT NOTICE YOU SHOULD BE AWARE THAT THERE IS LIMITED MONEY AVAILABLE FOR HEAP BENEFIT PAYMENTS.

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How to fill out the Home Energy Assistance Program Application - Westchester County online

Filling out the Home Energy Assistance Program Application can be a straightforward process when approached step-by-step. This guide will provide you with clear and supportive instructions for completing the application online, ensuring you have all the information needed to apply efficiently.

Follow the steps to successfully complete your application online.

  1. Click ‘Get Form’ button to access the application and open it in your preferred editor.
  2. Begin with Section 1: Household composition. Fill in your first name, middle initial, last name, date of birth, and social security number. Indicate your sex, phone number, and whether you or anyone else in your home receives food stamp benefits or temporary assistance by selecting 'Yes' or 'No' for each question.
  3. Complete Section 2: Housing information. Select the appropriate box that describes your housing situation, and provide your monthly rent or mortgage payment amount.
  4. Fill out Section 3: Heat and utility information. Specify your main source of heat and whether the heating or utility bills are in your name. If applicable, provide the names of your heating and utility companies.
  5. Proceed to Section 4: Household income. Answer the questions regarding the income sources of all members in your household. Attach additional sheets if necessary to disclose all relevant income.
  6. If you are applying under emergency circumstances, complete Section 5: Resources. Indicate any resources you or your household members may possess.
  7. Be sure to review all your responses for accuracy. Once completed, ensure that you sign the application at the designated area and provide the date of your signature.
  8. After reviewing your application, you can save changes, download, print, or share the completed form as needed.

Complete your Home Energy Assistance Program Application online today to ensure you receive the benefits you may be entitled to.

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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. You can also get more information on HEAP at ACCESS NYC.

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

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

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.

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

The benefit is a one-time payment to your heating utility company. The HEAP season runs from November to usually late March or April. The HEAP season usually open mid-November. For those that are over 60, and were awarded HEAP last year, you automatically are contacted to verify your information.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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