WV DFA-LIEAP-1 2012 free printable template

WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES DHHR Application for Low Income Energy Assistance Program LIEAP I. Regular LIEAP Emergency LIEAP IDENTIFYING INFORMATION B. Check any benefit being received by you or a member of your household SNAP Benefits WV WORKS Medicaid A. WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES DHHR Application for Low Income Energy Assistance Program LIEAP I. Regular LIEAP Emergency LIEAP IDENTIFYING INFORMATION B. Check any benefit being received...

How to fill out WV DFA-LIEAP-1

How to fill out WV DFA-LIEAP-1

1. Obtain the WV DFA-LIEAP-1 form from your local Department of Health and Human Resources office or download it from their official website.
2. Fill in your personal information including your name, address, and contact details in the designated fields.
3. Indicate your household size and the total income for your household on the form.
4. Provide details about your utility bill, including the type of fuel or energy used for heating.
5. Sign and date the application at the bottom of the form.
6. Submit the completed form to your local DHHR office along with any required documentation.

Who needs WV DFA-LIEAP-1?

1. Individuals and families in West Virginia who are experiencing difficulty paying their heating bills and meet the eligibility requirements for the Low Income Energy Assistance Program (LIEAP).

People Also Ask about

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 Low Income Energy Assistance Program in West Virginia, used to apply for assistance with energy bills for eligible low-income households.

Who is required to file WV DFA-LIEAP-1?

Individuals or families who meet the low-income criteria established by the program and require assistance with their energy costs must file WV DFA-LIEAP-1.

How to fill out WV DFA-LIEAP-1?

To fill out WV DFA-LIEAP-1, applicants must provide personal information such as household income, member details, and energy expenses. Instructions are provided on the form to guide applicants through the process.

What is the purpose of WV DFA-LIEAP-1?

The purpose of WV DFA-LIEAP-1 is to facilitate the application process for the Low Income Energy Assistance Program, helping eligible households receive financial aid to cover energy costs.

What information must be reported on WV DFA-LIEAP-1?

Applicants must report information regarding household members, total income, energy bills, and any other financial details relevant to the household's energy expenses.