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ATTACHMENT 3 LOW INCOME HOME ENERGY ASSISTANCE PROGRAM LIHEAP DETAILED MODEL PLAN PUBLIC LAW 97-35 AS AMENDED FISCAL YEAR FY 2013 GRANTEE NORTH CAROLINA EIN 566023166 E6 NC DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF SOCIAL SERVICES FOOD AND NUTRITION SERVICES ENERGY PROGRAMS SECTION 325 N. SALISBURY STREET MAIL SERVICE CENTER 2420 RALEIGH NORTH CAROLINA 27699-2420 NAME OF LIHEAP CONSULTANT EMAIL Erica Jennings erica.jennings dhhs. Accom...
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How to fill out a printable LIHEAP application:
01
Start by carefully reading the instructions provided with the application. This will ensure that you understand the requirements and any supporting documents that may be needed.
02
Gather all necessary information and documents before you begin filling out the application. This may include proof of income, utility bills, identification, and social security numbers for all household members.
03
Fill in your personal information accurately and completely. This may include your name, address, contact details, and social security number.
04
Provide the required information about your household members. Include their names, dates of birth, social security numbers, and any other details requested.
05
Declare your household's income. This may include wages, Social Security benefits, child support payments, and any other sources of income. Be sure to provide accurate and up-to-date information.
06
If required, provide information about your heating and cooling expenses. This may include utility bills or documentation from your utility provider.
07
Sign and date the application. Review all the information you provided to ensure its accuracy before signing.
Who needs a printable LIHEAP application:
01
Low-income individuals or families who struggle with their heating or cooling expenses may need a printable LIHEAP application.
02
Those who meet the income guidelines set by the LIHEAP program and are in need of financial assistance for their energy bills would require this application.
03
Individuals who are willing to fulfill the necessary documentation requirements and accurately provide the information needed may use this printable application to apply for LIHEAP benefits.
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What is printable nc liheap application?
The printable NC LIHEAP application is a form used to apply for the North Carolina Low-Income Home Energy Assistance Program, which provides financial assistance to eligible households to help with home heating costs.
Who is required to file printable nc liheap application?
Individuals and families with low income who need assistance with home heating expenses are required to file the printable NC LIHEAP application to receive benefits.
How to fill out printable nc liheap application?
To fill out the printable NC LIHEAP application, gather necessary documents about household income, complete the application form with accurate information, and sign it before submitting it to your local LIHEAP office.
What is the purpose of printable nc liheap application?
The purpose of the printable NC LIHEAP application is to assess eligibility for financial assistance to help low-income households manage their energy bills, specifically for heating during colder months.
What information must be reported on printable nc liheap application?
The application must report household income, the number of people living in the household, energy provider information, and details regarding heating expenses.
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