Follow the steps to successfully complete your application

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, enter the name of the applicant in the designated field. This is necessary for identifying the individual seeking assistance.
3. Next, verify identification by selecting the appropriate option. You can check the box for a government-issued ID card or specify another method of verification if applicable.
4. Indicate the number of people residing in the household. This information is essential for determining eligibility and assistance levels.
5. Provide the full address, including street, city, state, and zip code. If the address is on tribal reservation land, note that as instructed and refer to the tribal agency.
6. Enter the primary and secondary phone numbers for contact purposes. This will facilitate communication regarding your application.
7. Indicate whether the household received any income in the last three months by selecting ‘Yes’ or ‘No’. If you select ‘Yes’, list the sources of income such as employment or Social Security.
8. Specify if you require assistance with an outstanding electricity and/or heating bill by checking the relevant boxes.
9. Indicate if you need help paying for first month’s rent or a security deposit. Provide the estimated costs and landlord’s contact information, including name, address, and phone number.
10. Confirm whether the landlord has received any direct pay from the State of Wisconsin since July 1, 2015 by selecting ‘Yes’ or ‘No’.
11. Finally, review all provided information for accuracy. The applicant must sign and date the form at the end, signifying that the information is true and complete. The agent completing the form must also sign and date.
12. Once all fields are filled out, you can save changes, download, print, or share the completed form as needed.

Start your application today by completing the Wisconsin Home Energy Assistance Program form online.