Follow the steps to complete the CO CDHS IML–4 form online.

1. Press the ‘Get Form’ button to access the CO CDHS IML–4 online form and open it in your chosen editing tool.
2. Begin by entering your personal information in Section 1. You will need to provide your last name, first name, middle name, address, city, state, zip code, telephone number, date of birth, place of birth, age, sex, email address, and specify if you are a U.S. citizen or a registered alien.
3. In Section 2, list all other members of your household. Include their names, social security numbers, dates of birth, relationships to you, ages, sex, and places of birth. Indicate whether each member has income and their citizenship status, ensuring to attach necessary documentation if applicable.
4. Section 3 requires you to declare if there are additional individuals living at your address who should be noted but are not part of your household.
5. For Section 4, provide details regarding your household income. Differentiate between work income, self-employment income, and non-work income. Attach required documentation such as pay stubs or award letters corresponding to the information provided.
6. In Section 5, select the type of dwelling you live in and provide specific details regarding rent and mortgage payments if applicable.
7. Complete Section 6 to indicate if you live in subsidized housing, such as Section 8 or public housing.
8. Section 7 requires information about any heating emergencies. This includes the type of fuel used for heating your residence and additional details related to heating costs.
9. Proceed to Section 8, where you will need to provide a copy of valid identification demonstrating lawful presence in the U.S.
10. In Section 9, provide any additional information that may be relevant for statistical purposes, but note that this does not affect your eligibility.
11. Section 10 asks you to consent to the disclosure of your customer data to the LEAP office and agree to the terms outlined regarding this consent.
12. Finally, sign and date the application in Section 11, ensuring all information is accurate. Once completed, you can save changes, download the form, print it, or share it as needed.

Complete your CO CDHS IML–4 application online to gain access to vital energy assistance.