Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and access it for completion.
2. Begin with Part 1 - Contact Information. Enter your current home address, phone number, and email. If your mailing address is different, be sure to provide that information as well.
3. Move to Part 2 - Household Members. List every person living in your household. Ensure you provide their social security numbers and birth dates as required.
4. Proceed to Part 3 - Utility/Household Information. Fill in details regarding your primary and secondary heat sources and provide copies of recent utility bills.
5. In Part 4, specify if you do not pay your utility bill directly and provide landlord details if applicable.
6. Fill out Part 5 regarding income. Document all sources of income and provide proof for each household member as needed.
7. Continue to Part 6 - Income That Isn’t Earned. List any non-job related income and attach relevant documentation.
8. Complete Part 7 - Savings and Other Accounts. Provide totals from all bank accounts and savings.
9. Review Part 8 for information on your rights regarding hearings if needed.
10. In the final section, read the consent statement carefully. Sign and date the application to authorize processing.
11. Ensure to save your changes before submitting the form.

Get started now and complete your application for assistance online.