Get Wv Dfa-lieap-1 2012
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How to fill out the WV DFA-LIEAP-1 online
The West Virginia Department of Health and Human Resources requires the DFA-LIEAP-1 form for individuals seeking assistance through the Low Income Energy Assistance Program. This guide will provide you with clear, step-by-step instructions to successfully complete the form online.
Follow the steps to fill out your application clearly and accurately.
- Click ‘Get Form’ button to obtain the form and open it in the online editor.
- Begin by filling in your identifying information. This includes your name, mailing address, phone number, and directions to your home. Ensure that the information is accurate to avoid delays.
- Indicate any benefits received by you or members of your household, such as SNAP benefits, WV WORKS, or Medicaid.
- In the section for household members, list everyone living in your home. Provide full names, birth dates, Social Security numbers, and the total monthly income for each individual.
- Answer the home heating information questions. Specify your current living arrangements, whether anyone in your household is disabled or blind, and provide details about your heating costs, including the name and address of the service provider.
- Select your primary source of home heating. Options include natural gas, electric, propane, coal, and others. Be sure to check only one box.
- Provide your account number associated with your heating bill, if applicable, and the name on the bill. This information is crucial for processing your application.
- Complete the signature and statements of liability section. Ensure you check all applicable boxes indicating your understanding of the statements.
- Before submitting the application, review all information for accuracy. Attach any required documentation, such as recent bills or receipts, to support your application.
- Once everything is completed, save your changes, download a copy for your records, and print or electronically share the form as needed.
Complete your application online now to ensure a prompt response for energy assistance.
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The 20% utility discount program in West Virginia offers a significant reduction on energy bills for qualifying low-income households. This initiative works in conjunction with the WV DFA-LIEAP-1 program to lessen the financial burden on residents. If your household meets eligibility criteria, this program can provide much-needed relief. For more information and to understand how to apply, check out the resources available at uslegalforms.
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