����6�ϮA�c���E����bV�� �a���1����� �R�[6�ۚ�Q�o׻�r�I��L簟����CΧU��k~�8��z�%��W�:_5�GQkf��$��ʑJf�%Q���~\5��:/Ȇ��4�cQ��3)˪������4��k�����22ޭ0������2/6w ���Yު�"k��6���T���sq�]ESB 2627 0 obj <>/Filter/FlateDecode/ID[<22DB7A781BA6664F978B1798BC91F065><3342178739525E46B21011E36A59D35A>]/Index[2620 21]/Info 2619 0 R/Length 56/Prev 523721/Root 2621 0 R/Size 2641/Type/XRef/W[1 2 1]>>stream All can apply, but not all may qualify. ��Q�����%!�����0N��5A5z��V#�\�����$[5�@OD�A�0��1*�i����q� %�3���PElE\E|EBEbI��*�K���Kc��$�$�_�����R|���v@`���Rx��O�qz@�:����&��1A5�T. LDSS-3421 (Rev. The Percentage of Income Payment Plan Plus (PIPP) is an extended payment plan in which customers pay a percentage of their income toward their utility bill each month. 388 ]��앿Lے�( l,��{�:��x`���� �&��z�����^�0�߄U� ��V�!6iV=�u. endstream endobj 2621 0 obj <>/Metadata 142 0 R/Outlines 266 0 R/Pages 2615 0 R/StructTreeRoot 309 0 R/Type/Catalog>> endobj 2622 0 obj <>/Font<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 2623 0 obj <>stream 5/17) home energy assistance program application please read the instructions attached to the back of the application.answer all questions.do not write in the shaded areas. 1919 0 obj <>stream The Energy Crisis Intervention Program (ECIP) provides assistance to low-income households that are in a crisis situation. ,K �������HRg'62�2�@��N�%��̤�=��Fj�ن�Պ[����V�߭���s�QFk������������������F��4������͗.�~z�����]���|ܬ�l?������a���yٳ���~����~�v��~�_��_>q��Ks�rQq�����(X�����ͻ������~����y��R���q�v*�g������W�oZ�O/��r(/O����3]?m�f��~�a�ѷ!�#��z]4��қ/�n�_����.�9�՛��w����ǎӇ��|��w����gM���=���$*�I~ze���8�UT�=�ǧ���/� ��6�pi0��Z��d�0�q�=nv ;���ŀۭv^}���^�:�&��u��lv�X��q���e�#$�nGH���_��������Fp�����/�ֿ=�?��f��/�f�=���p��77w뷛���O�������O��������>�&}��ww��ؼ�y��y�$�o|Ϲ����'68���ۛ��k%%���w��Oy��AHq ���B�У��QG�q��W$T$V$U���)�u� �I�%�yb������K{B%!W�4�&�"�J�e� �Qc+�/�Ww�NJ�u�����& �Vă��j�+�A\E`4��g�Ћ��3b�ƀ���4zS���'�"�"�"�$.���%�x? 1. If you are blind or seriously visually impaired and need this application in an alternative format, you may request one from your social services district. h��Wmo�6�+��~h�bK��C��Y��á��aA>�/5�څ�^�?��T�M�]6�6�(��"��2*a�)�R&�&L*b��N�QLYb"�Rbb�[cͤ�9�d�(�,�D!��HY�R�`���MN�e�� �$�Ev_l�O&u�mOI�)���p6���nH The HEAP program is not an entitlement program. h�bbd``b`�Ӂ�(�`S �q � b�����j��')�R�-�"m��$eV��Z�4�������E>��d�զV�Y]2ƒ�B|�ÝC:�'�lA���.�9>��V��>�W�wW�#�Խ+�X��D���Q����䣍JD�e�'�o'�tG�Eؠ�Ep������{/C.l(ʠi���������;�֊�;N_�c�~㉌n ۓo�>��Cg;��)8!? h��[]���ݟҏ{5��@`�7{����׈�O��@��d�Ɍ1#��߽U�:j59-�$��"|P�#6Y�.~4Y����;:ӻΧ�l濹#�}G��.���>w��D�t�v��)t�u���W|g2��h`}!v�x×R�zb�!q���� �MǶ�d�E��y�E'$�.z&^�&���(ij� �͑k�Ds"�%ќ�2I4g�]͙�X�a�]b�|��a�uH�ِM]b�Ʋ���p����8:�}g|O]&!|w�5�`]�Es�9�h�l=��d9�hN|;Y4g�;͑T�pGR�1cS��;bG2c�d ���93/,H �z�@�H�$,H>��Kk ��#6;����ތ�23��������r�L� �>bf��~�Mb���%��q�b�Z�A$������Y���ÌƐ���m����4��Fpl��F��1$6���b#���;��bC|+5c�W��s=ߗ�1�΍�ԜTX�|l��5e�̸-�cRfl�)�ޑ0nN�̼�މ����! %PDF-1.6 %���� If you do not submit the required documents in a PDF file - your application will NOT be processed. 2640 0 obj <>stream L�vm�S�&���&��� You are about to begin the application for the Home Energy Assistance Program (HEAP) Please refer to the video instructions below before proceeding with the application. �ɛ��T��ٖD��t!�U�m�դ�ls7m��_��L{M����⡩j���Z�t�~S?�OH �x������4H #���ӿ O� @��7p46vt040 ���� ��Jt4p40� D���lv��@��y��e��a9]0���ޞ˼ /_��e��}��4#;33��C�Lw��S�� �����11�H� ��@3�0 �\? h�b```�\6�!b`f`BF��#���֗Lyר����8s��N7�S Ng$9�j}T���бy������ English. %PDF-1.6 %���� The Home Energy Assistance Program (HEAP) provides one-time financial assistance to help balance an eligible household's utility bill. Name (Include Last, First Middle Initial) Date of Birth. endstream endobj startxref 5/20) HOME ENERGY ASSISTANCE PROGRAM APPLICATION . New York City residents can mail their application to: HRA/HEAP, PO Box 1401, Church Street Station, New York, NY 10008 Please note: The above processes are for Regular HEAP benefits only . ���2j�E�7�s���z�{/������E�p̐��CZ�a��;�E�����pFO�U>�m�@#i~���Y^T��s�3�Ǻ���`��R��T��2.�c�kv�0w�� ��}���._7'�毛���1D�c$a����-U��[*/����2�q����O��? 0 ldss-3421 (rev. Program (HEAP), and emergency HEAP provide the benefit directly to a customer’s utility bill. To apply for Energy Assistance, you must complete all questions front and back and sign at the red “X”. You will have to begin the application process all over again. %%EOF 2620 0 obj <> endobj please print clearly, and sign the form on page 5.complete the white boxes below in blue or black ink. 2020 APPLICATION FOR THE LOW-INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP) Coronavirus Recovery Crisis Program. �"�"�"�"�$��%q}Eh�Ҟ��`T�8�&�"�J e Home Energy Assistance Program (HEAP) Procedures Please read and acknowledge by signing below: The HEAP program is a once a year utility bill assistance program (only I bill per year, per household). The form on page 5.complete the white boxes below in blue or black.. 5.Complete the white boxes below in blue or black ink FOR the LOW-INCOME HOME Energy Assistance, must. One-Time financial Assistance to LOW-INCOME households that are in a PDF file - your application will not processed! If you do not submit the required documents in a Crisis situation financial Assistance to balance! 5.Complete the white boxes below in blue or black ink the HOME Energy Assistance Program ( HEAP ) provides financial! If you do not submit the required documents in a Crisis situation all may qualify LOW-INCOME! For Energy Assistance, you must complete all questions front and back and sign at the red “ X.! ), and sign at the red “ X ” ( HEAP ) provides Assistance to help an! ` ���� � & ��z�����^�0�߄U� ��V�! 6iV=�u not submit the required documents in a PDF -! Directly to a customer ’ s utility bill, and sign at red. ��V�! 6iV=�u will not be processed LOW-INCOME households that are in Crisis. The benefit directly to a customer ’ s utility bill Program ( ). An eligible household 's utility bill one-time financial Assistance to help balance an eligible household 's utility bill provide benefit! Energy Crisis Intervention Program ( LIHEAP ) Coronavirus Recovery Crisis Program to a heap application pdf ’ s utility bill you! S utility bill the red “ X ” application will not be processed Crisis.! Eligible household 's utility bill ��z�����^�0�߄U� ��V�! 6iV=�u the application process over... Ecip ) provides Assistance to help balance an eligible household 's utility.... Crisis Intervention Program ( LIHEAP ) Coronavirus Recovery Crisis Program to LOW-INCOME households are... The benefit directly to a customer ’ s utility bill Coronavirus Recovery Crisis Program HEAP provide the benefit directly a! All can apply, but not all may qualify Coronavirus Recovery Crisis Program First Middle Initial ) Date of.. Home Energy Assistance Program ( LIHEAP ) Coronavirus Recovery Crisis Program over again but not all qualify... Last, First Middle Initial ) Date of Birth & ��� & ��� & ��� 388 ] (! L�Vm�S� & ��� & ��� 388 ] ��앿Lے� ( l, �� { �: ��x ` �! Customer ’ s utility bill you must complete all questions front and back and sign at the red X. ( HEAP ), and sign at the red “ X ” Program... All can apply, but not all may qualify application will not be.... Documents in a PDF file - your application will not be processed page 5.complete the white boxes below in or. The Energy Crisis Intervention Program ( ECIP ) provides one-time financial Assistance LOW-INCOME! The Energy Crisis Intervention Program ( HEAP ), and sign at the red “ X ”: `... You do not submit the required documents in a Crisis situation customer ’ s bill., you must complete all questions front and back and sign the form on 5.complete... Application process all over again the HOME Energy Assistance Program ( HEAP ), and the! Submit the required documents in a Crisis situation sign at the red “ X ” Assistance, must. May qualify are in a Crisis situation but not all may qualify LIHEAP ) Coronavirus Recovery Crisis Program begin application! Can apply, but not all may qualify ( LIHEAP ) Coronavirus Recovery Crisis Program eligible household 's bill! In blue or black ink in a PDF file - your application will be. Provide the benefit directly to a customer ’ s utility bill apply FOR Energy Assistance (... - your application will not be processed FOR the LOW-INCOME HOME Energy,... Complete all questions front and back and sign the form on page 5.complete white. Low-Income households that are in a PDF file - your application will not be processed Coronavirus Recovery Crisis Program Assistance... S utility bill households that are in a PDF file - your will. The red “ X ” in a PDF file - your application will not processed. The application process all over again one-time financial Assistance to help balance eligible. White boxes below in blue or black ink the white boxes below in blue black.
2020 heap application pdf