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All can apply, but not all may qualify. ��Q�����%!�����0N��5A5z��V#�\�����$[5�@OD�A�0��1*�i����q� %�3���PElE\E|EBEbI��*�K���Kc��$�$�_�����R|���v@`���Rx��O�qz@�:����&��1A5�T. LDSS-3421 (Rev. The Percentage of Income Payment Plan Plus (PIPP) is an extended payment plan in which customers pay a percentage of their income toward their utility bill each month. 388
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5/17) home energy assistance program application please read the instructions attached to the back of the application.answer all questions.do not write in the shaded areas. 1919 0 obj
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The Energy Crisis Intervention Program (ECIP) provides assistance to low-income households that are in a crisis situation. ,K �������HRg'62�2�@��N�%��̤�=��Fj�ن�Պ[����V�߭���s�QFk������������������F��4������͗.�~z�����]���|ܬ�l?������a���yٳ���~����~�v��~�_��_>q��Ks�rQq�����(X�����ͻ������~����y��R���q�v*�g������W�oZ�O/��r(/O����3]?m�f��~�a�ѷ!�#��z]4��қ/�n�_����.�9�՛��w����ǎӇ��|��w����gM���=���$*�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����
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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�
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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
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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��
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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
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