Get the free OTDA-5196 - LIHWAP Application for Benefits

OTDA5196 (Rev. 11/22)New York State Office of Temporary and Disability AssistanceLow Income Household Water Assistance Program (LIHWAP) Application for Benefits Send completed and signed application

How to fill out otda-5196 - lihwap application

How to fill out otda-5196 - lihwap application

1. Obtain the OTDA-5196 LIHWAP application form from the official New York State Office of Temporary and Disability Assistance (OTDA) website or your local social services office.
2. Fill out your personal information, including your name, address, and contact information.
3. Provide details about your household composition, including names and relationships of all members living with you.
4. Indicate your income sources and amounts, including wages, benefits, and any other financial support.
5. Fill out information regarding your water utility company and account details.
6. Answer questions related to your current financial situation and need for assistance.
7. Attach any required documentation needed to validate your application, such as proof of income or residency.
8. Review your application for completeness and accuracy.
9. Submit your application either online, by mail, or in person at your local social services office.

Who needs otda-5196 - lihwap application?

1. The OTDA-5196 LIHWAP application is needed by low-income households who are experiencing difficulties paying their water and wastewater bills and require assistance through the Low-Income Household Water Assistance Program (LIHWAP).

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What is otda-5196 - lihwap application?

The OTDA-5196 - LIHWAP application is a form used to apply for the Low-Income Home Water Assistance Program (LIHWAP), which provides financial assistance to low-income households to help them pay their water and wastewater bills.

Who is required to file otda-5196 - lihwap application?

Eligible low-income households that are struggling to pay their water and wastewater bills are required to file the OTDA-5196 - LIHWAP application to receive assistance.

How to fill out otda-5196 - lihwap application?

To fill out the OTDA-5196 - LIHWAP application, applicants need to provide their personal information, income details, household expenses, and a description of their water bill situation, while ensuring all sections of the form are completed accurately.

What is the purpose of otda-5196 - lihwap application?

The purpose of the OTDA-5196 - LIHWAP application is to facilitate access to financial assistance for qualifying low-income households to help them maintain essential water services by paying their bills.

What information must be reported on otda-5196 - lihwap application?

Applicants must report personal identification details, household income, number of residents, water utility account information, and any relevant financial hardships impacting their ability to pay water bills.