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ANYCLDSS4992 (Rev. 5/18)Home Energy Assistance Program Cooling Assistance Request For Benefit Date Received: Case Number: APPLICANT INFORMATION First NameMILast Name SSN (last 4 digits)Street Address
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How to fill out cooling assistance request for

How to fill out cooling assistance request for
01
Obtain a cooling assistance application form from the appropriate agency or organization.
02
Carefully read the instructions on the form to ensure that you provide all required information.
03
Fill out the form with accurate and complete information. Be sure to include your name, address, contact information, and any other requested details.
04
Attach any necessary supporting documents, such as proof of income or medical documents, as specified on the form.
05
Double-check the form for any errors or omissions before submitting it.
06
Submit the completed form and any supporting documents to the designated agency or organization either in person, by mail, or through their online portal, as instructed.
07
Keep copies of the completed form and supporting documents for your records.
08
Follow up with the agency or organization to inquire about the status of your application and to provide any additional information if needed.
09
Once your application is approved, follow any further instructions provided to receive the cooling assistance.
Who needs cooling assistance request for?
01
Anyone who is in need of cooling assistance due to extreme heat conditions can submit a cooling assistance request.
02
This may include individuals or families who do not have access to air conditioning or other cooling devices, especially those with health conditions that are exacerbated by high temperatures.
03
Elderly individuals, young children, pregnant women, and individuals with disabilities or chronic illnesses are particularly vulnerable to heat-related health issues and may need cooling assistance.
04
Low-income households or individuals facing financial difficulties may also qualify for cooling assistance programs.
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What is cooling assistance request for?
Cooling assistance request is designed to help eligible individuals and families pay for cooling costs during extreme heat events.
Who is required to file cooling assistance request for?
Individuals or families who meet specific eligibility criteria, often related to income and vulnerability to heat, are required to file a cooling assistance request.
How to fill out cooling assistance request for?
To fill out the cooling assistance request, applicants typically need to complete a form that includes personal information, income details, and documentation of cooling-related expenses.
What is the purpose of cooling assistance request for?
The purpose of the cooling assistance request is to ensure that vulnerable populations have access to cooling resources and can afford necessary services during hot weather.
What information must be reported on cooling assistance request for?
The information that must be reported includes applicant's name, address, household size, income level, and any specific cooling expenses that need assistance.
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