WV DFA-LIEAP-1 2016 free printable template
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Regular LIEAP Emergency LIEAP West Virginia Department of Health and Human Resources DHHR APPLICATION FOR LOW INCOME ENERGY ASSISTANCE PROGRAM LIEAP I. B. Check any benefit being received by you or a member of your household SNAP Benefits WV WORKS Medicaid IDENTIFYING INFORMATION A. Regular LIEAP Emergency LIEAP West Virginia Department of Health and Human Resources DHHR APPLICATION FOR LOW INCOME ENERGY ASSISTANCE PROGRAM LIEAP I. B. Check any benefit being received by you or a member of...
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How to fill out WV DFA-LIEAP-1
How to fill out WV DFA-LIEAP-1
01
Obtain the WV DFA-LIEAP-1 form from the West Virginia Department of Health and Human Resources (DHHR) website or local DHHR office.
02
Carefully read the instructions provided with the form.
03
Fill in your personal information, including your name, address, and contact details.
04
Provide details about your household members, including their names, ages, and relationships to you.
05
Enter your total monthly income and indicate the source of that income.
06
List your household’s monthly expenses, such as rent, utilities, and other necessary costs.
07
Review the completed form for accuracy before submission.
08
Submit the form either in person at your local DHHR office or by following the submission guidelines provided.
Who needs WV DFA-LIEAP-1?
01
Individuals and families in West Virginia who are experiencing financial hardship and need assistance with home heating expenses may need to fill out the WV DFA-LIEAP-1 form.
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What is the hardship program in WV?
The program is designed to provide short-term emergency financial assistance with which eligible individuals and families may obtain items or services needed to eliminate an emergency or crisis. Items of need include rent utilities, food, household supplies, clothing, transportation and medical service.
How much is cash assistance in WV?
WV WORKS is West Virginia's TANF Program that provides monthly cash assistance to eligible families. The goal is to assist poorest families become self-sufficient. Eligible families of three with no income may receive $542 each month and it's limited to no more than 60 months of cash assistance.
How can I get help with my electric bill in WV?
Call the DHHR at 1-877-716-1212, M-F from 8 a.m. – 5 p.m. A recent heating bill; if heating with gas, customers must provide the electric bill also.
What is the energy assistance program in West Virginia?
Low Income Energy Assistance Program (LIEAP) LIEAP assists eligible households with the cost of home heating through direct cash payments or payments to utility companies on their behalf. A crisis component is available for households without resources facing the loss of a heating source.
How do I get emergency housing assistance in WV?
Public Housing and Housing Choice Vouchers (Section 8) To apply for either type of help, visit your local Public Housing Agency (PHA). Questions? Email or call our Public and Indian Housing Information Resource Center toll-free at (800) 955-2232.
How to get financial help in West Virginia?
Please see the information below for more information. WV WORKS. Supplemental Nutrition Assistance Program (SNAP) Medicaid. Medicaid for Long Term Care. Medicare Premium Assistance Programs. School Clothing Allowance Utility Assistance/LIEAP/LIHWAP Child Care Assistance and Early Childhood Resources.
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What is WV DFA-LIEAP-1?
WV DFA-LIEAP-1 is a form related to the West Virginia Department of Health and Human Resources, specifically for the Low Income Energy Assistance Program (LIEAP), which helps low-income households with energy costs.
Who is required to file WV DFA-LIEAP-1?
Individuals or households in West Virginia who meet the income eligibility requirements for the Low Income Energy Assistance Program (LIEAP) are required to file WV DFA-LIEAP-1.
How to fill out WV DFA-LIEAP-1?
To fill out WV DFA-LIEAP-1, applicants need to provide personal information such as their name, address, and income details, and complete all sections of the form according to the provided instructions.
What is the purpose of WV DFA-LIEAP-1?
The purpose of WV DFA-LIEAP-1 is to assess eligibility for the Low Income Energy Assistance Program and to provide financial assistance to eligible households to help meet their energy costs.
What information must be reported on WV DFA-LIEAP-1?
Applicants must report personal information such as household composition, income sources, amount, and any other required details about their energy expenses and assistance needs.
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