
Get the free LIHEAP Home Energy Notebook - acf hhs
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LIH EAP Home Energy Notebook
For Fiscal Year 2011U. S. DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Administration for Children and Families
Office of Community Services
Division of Energy Assistance
June
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How to fill out liheap home energy notebook

01
To fill out the LIHEAP Home Energy Notebook, you will need to gather all necessary documentation related to your energy expenses and household income.
02
Start by providing your personal information, such as your name, address, and contact details, at the beginning of the notebook.
03
Next, record your household income information, including any government assistance programs, wages, and other sources of income. Make sure to include all members of your household who contribute to the income.
04
Document your monthly energy expenses, such as gas, electricity, and fuel bills. Include any receipts or bills that validate the costs.
05
If applicable, mention any medical or life support devices that require electricity and their associated costs.
06
In the notebook, note any specific energy challenges or concerns you may have, such as high energy bills, inadequate insulation, or malfunctioning appliances.
07
In the final section, indicate any additional relevant information or supporting documents that could help assess your eligibility for LIHEAP assistance.
08
The LIHEAP Home Energy Notebook is designed for low-income individuals or families who are struggling with their energy costs and may qualify for financial assistance.
09
Anyone experiencing difficulties in paying their energy bills or needing support to make their homes more energy-efficient can benefit from using the LIHEAP Home Energy Notebook.
10
The notebook serves as a comprehensive record of your energy expenses, income, and specific needs, allowing LIHEAP administrators to determine your eligibility and provide the necessary assistance.
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