Get the free LIHWAP IM-2022-04 Guidance for Use of LIHEAP and ...
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Department of Community Services and Development
LIH WAP Intake Form
CSD 41 (04/2022)
Agency:
Intake Initials:
Intake Date:
First nameMiddle InitialOfficial Use Only:
A.C.C.
Eligibility Cert Dateless
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01
Review the LIHWAP IM-2022-04 guidance document thoroughly to understand the requirements.
02
Gather all necessary information and documentation needed to complete the form.
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Start by filling out the personal information section, including your name, address, and contact information.
04
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05
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Submit the filled-out LIHWAP IM-2022-04 guidance form to the appropriate authority or organization as instructed.
Who needs lihwap im-2022-04 guidance for?
01
Low-Income Household Water Assistance Program (LIHWAP) recipients
02
Individuals seeking financial assistance for water bills
03
Households experiencing difficulty paying for water services
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What is lihwap im-04 guidance for?
The lihwap im-04 guidance is used to provide instructions and guidelines for completing a specific task or process.
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Anyone who is involved in the task or process that the lihwap im-04 guidance pertains to may be required to file it.
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