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NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF SOCIAL SERVICES LOW INCOME ENERGY ASSISTANCE (LEAP) BAILOUT APPLICATION When complete, refold this form and put it in the enclosed

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How to fill out dss-8116 lieap mail-out application

01

Gather all necessary documents, such as proof of income, utility bills, and social security numbers.

02

Read the instructions carefully to understand the eligibility criteria and required information.

03

Fill out the personal information section accurately, including your name, address, and contact details.

04

Provide information about your household members, including their names, ages, and relationship to you.

05

Complete the income section, providing details about your income sources and any government assistance received.

06

Fill out the section related to your monthly expenses, such as rent, mortgage, utilities, and medical bills.

07

Include any applicable deductions, such as child support or child care expenses.

08

Review the application to ensure all sections are completed correctly and legibly.

09

Sign and date the application.

10

Make a copy of the completed application for your records.

11

Mail the application to the designated address provided in the instructions.

Who needs dss-8116 lieap mail-out application?

01

Individuals and families with low income who need assistance with energy costs.

02

Households experiencing financial hardship and struggling to afford utility bills.

03

People who meet the eligibility criteria set by the DSS-8116 LIHEAP program.

04

Anyone residing in a state that offers the DSS-8116 LIHEAP mail-out application.

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What is dss-8116 lieap mail-out application?

The dss-8116 lieap mail-out application is a form used to apply for the Low Income Energy Assistance Program.

Who is required to file dss-8116 lieap mail-out application?

Individuals meeting the eligibility requirements for the program are required to file the dss-8116 lieap mail-out application.

How to fill out dss-8116 lieap mail-out application?

The dss-8116 lieap mail-out application can be filled out by providing the required information such as income, household size, and energy expenses.

What is the purpose of dss-8116 lieap mail-out application?

The purpose of dss-8116 lieap mail-out application is to apply for financial assistance with energy bills for low-income households.

What information must be reported on dss-8116 lieap mail-out application?

Information such as income, household size, and energy expenses must be reported on the dss-8116 lieap mail-out application.

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