This form is mandatory and will terminate selected participation effective 30 days from the date of receipt of this form by the OTDA HEAP Bureau. Westhampton Beach, NY 11978, 342 Oakwood Rd. • A Vendor Agreement is required in order to participate in and receive HEAP payments. Benefits for cooling services paid directly to vendors will be issued through the NYS Office of the State Comptroller (NYS OSC). The HEAP Vendor Refund Form is a mandatory form used by HEAP vendors. services provided and service locations, conditions to accepting new customers, etc. This legally binding document provides both OTDA and participating vendors … Select a county The vendor refund form is used to support the refund process. or scan copies to: HEAP.vendor@OTDA.ny.gov. HEAP Bureau . The amount of assistance depends on your household income and may be available even if your heat is included in your rent. 48 Unit #20 Cutchogue, NY 11935, 946 Little Neck East road W. Babylon, NY 11704, 29 Sanford Street Huntington Station, NY 11746, 421 North Country Rd. You can print this page by right-clicking and The vendor understands that payment and satisfaction of any claims under HEAP will be made from federal HEAP funds. The vendor understands that payment and satisfaction of any claims under HEAP will be made from federal HEAP funds. Click dealer name for more information (password required), You can print this page by right-clicking and Albany, NY 12243 8 Springfield Avenue Greenlawn, NY 11740: 631-239-1386: Oil: Yes : 1247800: Anchor Fuel Oil inc. 167 Whitewood Drive Massapequa Park, NY 11762: 516-797-9877: Oil: Yes : 1285598: ARC Fuel Oil Co., Inc. 56 So. Participating Dealers: 166 Submit termination form to: Vendors may choose to sign up for electronic payments from the Office of the State Comptroller (OSC). The Statewide Financial System is designed for the sole use of transacting business on behalf of New York State. The vendor refund form is used to support the refund process. Providers of cooling assistance services must read the Cooling Assistance Services Vendor Instructions and complete and return the Cooling Assistance Services Vendor Agreement to: NYS OTDA/HEAP Albany, NY 12243 . This form should be returned to the HEAP Local District Contact from which the original payment was received. Vendor Management Home energy commodity suppliers, who are interested in becoming a HEAP Vendor, must read the Non-Utility Vendor Agreement Instructions and complete and return the Non-Utility Vendor Agreement and its attachments to: NYS OTDA/HEAP 11B Albany, NY 12243. or fax to: (518) 474-0985 or scan copies to: HEAP.vendor@OTDA.ny.gov. Email: epayments@osc.state.ny.us. Vendors appearing below will only receive HEAP funds for customers on a verified price protection plan or service contract. Office of Temporary and Disability Assistance, OTDA Home Programs & Services Home Energy Assistance Program Vendor Agreement and Information. Monday – Friday, 8:00 a.m. – 5:00 p.m. helpdesk@sfs.ny.gov NYS Agency Customers (518) 457-7737 or (877) 737-4185 toll-free; Individuals and Firms (518) 457-7717 or (855) 233-8363 toll-free or scan copies to: HEAP.vendor@OTDA.ny.gov. If your company already participates in HEAP and has changes from your company's original agreement, i.e. The participating Clean and Tune vendor list can be obtained by accessing the HEAP Participating vendor list. • After NYS OTDA acceptance, this Vendor Agreement will remain in effect until either party terminates Agreement with thirty (30) days written notice. 40 North Pearl Street. The Home Energy Assistance Program (HEAP) can help eligible New Yorkers heat their home. I. Heating Equipment Repair or Replacement Benefit, Non-Utility Vendor Agreement Instructions, Cooling Assistance Services Vendor Instructions, Cooling Assistance Services Vendor Agreement, Heating Equipment Repair and Replacement Vendor Instructions, Heating Equipment Repair and Replacement Vendor Agreement, Supplemental Nutrition Assistance Program (SNAP).
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