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DPHHS-EAP-088B Rev 07/2014 STATE OF MONTANA - Department of Public Health and Human Services October 1st - April 30th Heat bill assistance applications will not be accepted after April 30th LOW-INCOME ENERGY ASSISTANCE AND WEATHERIZATION PROGRAM APPLICATION NOTE YOU WILL RECEIVE A LETTER TELLING YOU WHETHER YOU ARE ELIGIBLE AFTER WE RECEIVE YOUR COMPLETED APPLICATION. YOUR APPLICATION CANNOT BE PROCESSED WITHOUT ALL OF THE INFORMATION REQUESTED.
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01
Begin by carefully reading and understanding the instructions provided with the form.
02
Provide your personal information accurately, such as your name, address, and contact details, in the designated fields.
03
Fill in the required information related to your household, including the number of people living with you and their names.
04
Provide details regarding your income, such as your monthly earnings and any additional sources of income.
05
If applicable, provide information about your current utility provider and any assistance you receive from other programs.
06
Sign and date the form to certify the accuracy of the information provided.
07
Submit the completed form as per the instructions, either by mailing it or submitting it online, if available.
Who needs form dphhs eap 088:
01
Individuals or households seeking assistance with their utility expenses may need to complete form dphhs eap 088.
02
Those who meet the eligibility criteria for the Energy Assistance Program provided by the Department of Public Health and Human Services (DPHHS) may require this form.
03
Applicants who wish to apply for financial assistance towards their energy costs in Montana may need to fill out this form to be considered for the program.
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