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DETAILED MODEL PLAN (LIH EAP) Mandatory Grant Application SF424 August 1987, revised 05/92,02/95,03/96,12/98,11/01 OMB Clearance No.: 09700075 Expiration Date: 06/30/2017U. S. DEPARTMENT OF HEALTH
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Gather all necessary financial and household information.
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Who needs liheap dclsform administration for?

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Low-income households in need of assistance with their heating and cooling costs.
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It is for the administration of the Low Income Home Energy Assistance Program (LIHEAP).
Households that qualify for LIHEAP assistance.
The form can be filled out online or in person at the designated LIHEAP office.
The purpose is to determine eligibility for LIHEAP benefits and aid in the administration of the program.
Household income, energy bills, and other relevant financial information.
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