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This affidavit is submitted to the Department of Public Welfare in connection with an application for financial assistance under the Energy Assistance Program, specifically addressing the applicant's
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How to fill out energy assistance affidavit
How to fill out Energy Assistance Affidavit
01
Obtain the Energy Assistance Affidavit form from your local energy assistance agency.
02
Fill in your personal details such as name, address, and contact information.
03
Provide information about your household, including the number of members and their incomes.
04
Indicate the type of energy assistance you are applying for, such as heating or cooling assistance.
05
Answer any additional questions as required by the affidavit, ensuring all information is accurate.
06
Sign and date the affidavit to certify that the information provided is true and complete.
07
Submit the completed affidavit along with any required documentation to the appropriate agency.
Who needs Energy Assistance Affidavit?
01
Individuals or families who are experiencing financial hardship and need assistance with their energy bills.
02
Low-income households that struggle to pay for heating or cooling in extreme weather conditions.
03
Residents eligible for energy assistance programs based on specific income guidelines and household size.
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People Also Ask about
What is the maximum income for energy assistance?
2025 LIHEAP Income Eligibility Persons in HouseholdMonthly Income 1 $3,170.00 2 $4,145.41 3 $5,120.83 4 $6,096.257 more rows
What is a utility affidavit?
I hereby certify that the person (or persons) listed on the utility (or utilities) listed above is not a resident of this household and is not making financial contributions toward the monthly heating and electric bills.
What documentation is needed for LIHEAP?
Applicant's Current Driver's License or Birth Certificate (If the applicant has an award letter, an open Food Stamp case or a Benefit ID card in their name, you can use this if unable to provide your DL or Birth Certificate). 2. Social Security cards for everyone in the household.
How do I claim the Georgia energy assistance program?
How To Apply for Energy Assistance Call Us. Primary: (877) 423-4746. Mail. 47 Trinity Ave. Hours. Eastern Time Zone.
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What is Energy Assistance Affidavit?
The Energy Assistance Affidavit is a legal document that individuals or households submit to certify their eligibility for energy assistance programs, providing necessary details about their income and energy costs.
Who is required to file Energy Assistance Affidavit?
Individuals or households seeking energy assistance subsidies or benefits are required to file the Energy Assistance Affidavit to demonstrate their need for assistance.
How to fill out Energy Assistance Affidavit?
To fill out the Energy Assistance Affidavit, applicants must provide accurate personal and financial information, including household income, number of members, and energy expenses. It is recommended to follow the provided guidelines or instructions carefully.
What is the purpose of Energy Assistance Affidavit?
The purpose of the Energy Assistance Affidavit is to verify the eligibility of applicants for energy assistance programs and ensure that resources are allocated to those in financial need.
What information must be reported on Energy Assistance Affidavit?
The Energy Assistance Affidavit must report information such as household income, household size, types of energy used, and monthly energy expenses to establish eligibility for assistance.
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