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LOW INCOME ENERGY ASSISTANCE PROGRAM (LIEAP) ES-3500 8-24-A Scan to Apply Online How can you apply for LIEAP? Use the secure online portal: 1. Go to www.dcf.ks.gov and click Apply for Services. 2.

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How to fill out the KS ES-3500 online

Filling out the KS ES-3500 form online is a straightforward process designed to assist users in applying for the Low Income Energy Assistance Program (LIEAP). This guide provides detailed instructions to help ensure accurate completion of the form.

Follow the steps to successfully complete the KS ES-3500 online.

  1. Click ‘Get Form’ button to access the form and open it in the online editor.
  2. Begin by entering your household information in section 1. List the person whose name is on the heating utility bill, followed by other household members. Ensure all details, such as full names and social security numbers, are accurately filled in.
  3. For section 2, indicate your current emergency situation regarding utilities if applicable. Be sure to enclose proof of any disconnect if you're claiming an emergency.
  4. Complete section 3, detailing household income. List all sources of income and attach the necessary proof, such as pay stubs and benefit letters.
  5. In section 4, specify the type of dwelling you live in. Choose an option that accurately reflects your living situation.
  6. Answer section 5 regarding subsidized housing. If applicable, provide your landlord's information and a copy of your rental agreement.
  7. Fill out section 6 by selecting your heating system type. Provide any required proof of your heating system.
  8. In section 7, provide your fuel type and vendor information. Ensure accuracy as this will determine how benefits are allocated.
  9. In section 8, describe how you pay your heating fuel bill. Accurately detail if it is your name or another's.
  10. For section 9, select your LIEAP payment options. You may choose to have your benefit payable to your vendor or split between vendors. Include all relevant bills.
  11. List any helping agencies in section 10 if applicable, and complete section 11 regarding the Kansas Weatherization Assistance Program.
  12. Review all completed sections for accuracy and ensure all required signatures are included. Users are advised to double-check document submissions.
  13. Finally, you can save changes, download, print, or share the completed form as necessary.

Start your application for the LIEAP by completing the KS ES-3500 online today.

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