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Medical Certification FormTo Physicians and Public Health Officials: This form has been approved by the Michigan Public Service Commission for your use in verifying a medical condition of this patient
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Obtain a copy of the disconnect policiesform from the LIHEAP clearinghouse.
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Who needs disconnect policiesform liheap clearinghouse?

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Anyone applying for assistance through LIHEAP (Low Income Home Energy Assistance Program) who is at risk of having their utilities disconnected may need to fill out the disconnect policiesform from the LIHEAP clearinghouse.
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The disconnect policies form for the LIHEAP Clearinghouse is a document that outlines the policies and procedures regarding the disconnection of utility services for households receiving assistance through the Low Income Home Energy Assistance Program (LIHEAP).
Utilities that participate in the LIHEAP program and provide energy services to eligible households are required to file the disconnect policies form with the LIHEAP Clearinghouse.
To fill out the disconnect policies form for the LIHEAP Clearinghouse, utilities must provide detailed information about their disconnection policies, including conditions for disconnection, customer notification procedures, and any mitigation measures in place for vulnerable populations.
The purpose of the disconnect policies form for the LIHEAP Clearinghouse is to ensure that utilities follow fair and consistent procedures when disconnecting services to households receiving LIHEAP assistance, while also protecting vulnerable populations.
The information that must be reported includes the utility's policies regarding disconnection, steps taken before disconnection, provisions for low-income households, and how the utility communicates with customers about possible disconnection.
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