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LIHEAP Remote Processing Form This form is used to apply for the LIHEAP Crisis programTodays Date: Appointment:DATE:TIME:Pending? Yes/NoConfirmation #: Name (Print): Date of Birth: Last 4 SS#: LG&E.

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How to fill out the Liheap Remote Processing Form online

The Liheap Remote Processing Form is an essential document for applying to the LIHEAP Crisis program. This guide provides clear instructions on how to efficiently fill out the form online, ensuring you complete your application accurately and effectively.

Follow the steps to complete your application seamlessly.

  1. Press the ‘Get Form’ button to access the Liheap Remote Processing Form and open it in the online editor.
  2. Enter today's date in the appropriate field to indicate when you are filling out the form.
  3. Schedule your appointment by providing the date and time. Make sure to note 'Pending' as either Yes or No.
  4. Fill in the Confirmation # if applicable to reference your appointment.
  5. Print your name clearly in the designated 'Name' section, along with your date of birth.
  6. Provide the last four digits of your Social Security Number.
  7. Input your LG&E Account Number if applicable. Remember, this is not required if utilities are included in your rent.
  8. Enter your phone number for any necessary follow-up communication.
  9. Ensure you include proof of all household income for the previous month, Social Security cards for each household member, and the most current past-due heating bill or eviction notice if applicable.
  10. Complete the signature section at the bottom and include the date to certify that all information provided is accurate.
  11. Finalize your submission by saving your changes. You may download, print, or share the form as needed.

Complete your application online today and ensure you have all necessary documentation ready for submission.

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Program Overview Applicants must be responsible for the household energy bill. Applicant may only receive one LIHEAP benefit each season.

Depending on the funds available in your county, you may be able to apply for assistance up to three times a year, but not every month. LIHEAP may help pay your natural gas or propane bill only in the winter, if you use gas or propane as your primary source to heat your home.

Low Income Home Energy Assistance Program The purpose of LIHEAP is to provide appropriate and timely financial assistance. Applications for all LIHEAP services are made through a local community action agency. The assistance is available in select counties in Alabama.

LIHEAP Subsidy is a one-time benefit. You do not need to have a past-due balance or disconnect notice to be eligible.

The maximum number of times an eligible household can receive LIHEAP assistance each program year is four times; i.e. once for Heating, Crisis Heating, Cooling, or Crisis Cooling. Once a program year has ended and a new program year begins, eligible households may apply again, if needed.

The Low-Income High Energy Assistance Program (LIHEAP) assists low-income Alabama residents with the high cost of home energy. Funding is provided from the Low Income Home Energy Assistance Program (LIHEAP) block grant through the U.S. Department of Health and Human Services.

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