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This guide will help you understand how to complete the online application for financial assistance under the Low Income Home Energy Assistance Program (LIHEAP). Filling out the application accurately is essential for a smooth application process.

Follow the steps to successfully submit your LIHEAP application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your contact information in Part 1. Fill out your name, home address, mailing address (if different), county of residence, email address, and phone numbers.
3. In Part 2, list all household members. Provide their names, whether they receive SNAP benefits, Social Security numbers, sex, birth dates, disability status, relationship to you, race, and U.S. citizenship status.
4. Proceed to Part 3 to enter your utility information. Specify the fuel source for your home and the supplier's details. Confirm whether your energy source has been disconnected or is in danger of disconnection.
5. In Part 4, if applicable, indicate if you pay for heating or cooling costs through your landlord. Provide the landlord's name and contact information.
6. In Part 5, document household income in detail. List individuals over 18 who received income from jobs, along with their employers, payment frequency, gross pay, and employment status.
7. Part 6 requires you to declare any court-ordered child support payments made last month, including the amount paid and the name of the payer.
8. Enter other income in Part 7, detailing sources such as Social Security, TANF, or any other assistance programs. Include supporting documents.
9. In Part 8, disclose any resources each household member has, including checking accounts, savings, and investments.
10. Review Part 9 which outlines your right to a fair hearing if your application is denied or not reviewed in a timely manner. Ensure you have all required documents ready to avoid delays.
11. In Part 10, read the consent for processing your application carefully. Sign and date the application. Remember, without your signature, your application cannot be processed.
12. Finally, save your application before submitting it. After submission, you may want to download or print a copy for your records.

Take action today—complete your LIHEAP application online for assistance with home energy costs.