Get Heap Application Checklist - North Coast Energy Services

Completing the HEAP Application Checklist is an essential step for individuals seeking energy assistance. This guide provides clear and supportive instructions on how to effectively fill out the form online, ensuring you provide all necessary information for a successful application.

Follow the steps to successfully complete your HEAP Application Checklist.

1. Click ‘Get Form’ button to obtain the HEAP Application Checklist form and open it in your preferred editor.
2. Read both sides of the instruction sheet carefully to understand the requirements and mandatory items needed for submission. Ensure you have proof of income for all household members aged 18 years and older and current utility bills.
3. Fill out the Department of Community Services and Development Energy Intake Form completely. Be sure to sign and date the form. Include your birthdate, social security number, and identify the utility bill for which you are seeking assistance. Remember, assistance is only provided for one utility company.
4. Verify and document income for each adult household member for the past 30 days. This includes pay stubs, letters from employers, or other accepted forms of verification listed in the instructions.
5. List all household members, including their ages, on the provided section of the application. Ensure full and accurate information is supplied for each individual.
6. Complete and sign the Client Education Confirmation of Receipt form, indicating you have received important educational materials related to energy and health safety.
7. If applicable, complete specific forms related to income and utility responsibilities, such as the Survey of Income and Expenses or the Utility Bill Responsibility Statement.
8. Once you have completed the application and gathered all necessary documents, ensure everything is legible. Illegible applications are subject to denial.
9. Save changes to your application. You may then download, print, or share the completed form as needed for your records or submission.

Complete your HEAP Application Checklist online today to ensure your energy assistance needs are met.