2020 APPLICATION FOR THE LOW-INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP) Coronavirus Recovery Crisis Program. b�����j��')�R�-�"m��$eV��Z�4�������E>��d�զV�Y]2ƒ�B|�ÝC:�'�lA���.�9>��V��>�W�wW�#�Խ+�X��D���Q����䣍JD�e�'�o'�tG�Eؠ�Ep������{/C.l(ʠi���������;�֊�;N_�c�~㉌n ۓo�>��Cg;��)8!? 2620 0 obj <> endobj If you are blind or seriously visually impaired and need this application in an alternative format, you may request one from your social services district. �"�"�"�"�$��%q}Eh�Ҟ��`T�8�&�"�J e 1919 0 obj <>stream %PDF-1.6 %���� 2640 0 obj <>stream ,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���/� Program (HEAP), and emergency HEAP provide the benefit directly to a customer’s utility bill. The HEAP program is not an entitlement program. The Home Energy Assistance Program (HEAP) provides one-time financial assistance to help balance an eligible household's utility bill. 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. 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. To apply for Energy Assistance, you must complete all questions front and back and sign at the red “X”. The Energy Crisis Intervention Program (ECIP) provides assistance to low-income households that are in a crisis situation. Name (Include Last, First Middle Initial) Date of Birth. %PDF-1.6 %���� English. @��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$9�j}T���бy������ h�bbd``b`�Ӂ�(�`S �q � ��Q�����%!�����0N��5A5z��V#�\�����$[5�@OD�A�0��1*�i����q� %�3���PElE\E|EBEbI��*�K���Kc��$�$�_�����R|���v@`���Rx��O�qz@�:����&��1A5�T. 388 ]��앿Lے�( l,��{�:��x`���� �&��z�����^�0�߄U� ��V�!6iV=�u. �x������4H #���ӿ O� please print clearly, and sign the form on page 5.complete the white boxes below in blue or black ink. �ɛ��T��ٖD��t!�U�m�դ�ls7m��_��L{M����⡩j���Z�t�~S?�OH ;���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? 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 . 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 ��6�pi0��Z��d�0�q�=nv ldss-3421 (rev. 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 You will have to begin the application process all over again. ���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$a����-U��[*/����2�q����O��? 5/17) home energy assistance program application please read the instructions attached to the back of the application.answer all questions.do not write in the shaded areas. �$�Ev_l�O&u�mOI�)���p6���nH endstream endobj startxref ����6�ϮA�c���E����bV�� �a���1����� �R�[6�ۚ�Q�o׻�r�I��L簟����CΧU��k~�8��z�%��W�:_5�GQkf��$��ʑJf�%Q���~\5��:/Ȇ��4�cQ��3)˪������4��k�����22ޭ0������2/6w ���Yު�"k��6���T���sq�]ESB 1. h��[]���ݟҏ{5��@`�7{����׈�O��@��d�Ɍ1#��߽U�:j59-�$��"|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����! If you do not submit the required documents in a PDF file - your application will NOT be processed.
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