heap application pdf

h�b```�\6�!b`f`BF��#���֗Lyר����8s��N7�S Ng$9�j}T���бy������ ��Q�����%!�����0N��5A5z��V#�\�����$[5�@OD�A�0��1*�i����q� %�3���PElE\E|EBEbI��*�K���Kc��$�$�_�����R|���v@`���Rx��O�qz@�:����&��1A5�T. please print clearly, and sign the form on page 5.complete the white boxes below in blue or black ink. 5/20) HOME ENERGY ASSISTANCE PROGRAM APPLICATION . %PDF-1.6 %���� 2620 0 obj <> endobj Program (HEAP), and emergency HEAP provide the benefit directly to a customer’s utility bill. 1. @��7p46vt040 ���� ��Jt4p40� D���lv��@��y��e��a9]0���ޞ˼ /_��e��}��4#;33��C�Lw��S�� �����11�H� ��@3�0 �\? To apply for Energy Assistance, you must complete all questions front and back and sign at the red “X”. �ɛ��T��ٖD��t!�U�m�դ�ls7m��_��L{M����⡩j���Z�t�~S?�OH New York City residents can mail their application to: HRA/HEAP, PO Box 1401, Church Street Station, New York, NY 10008 Please note: The above processes are for Regular HEAP benefits only . �x������4H #���ӿ O� You will have to begin the application process all over again. 2640 0 obj <>stream h�bbd``b`�Ӂ�(�`S �q � ldss-3421 (rev. 2020 APPLICATION FOR THE LOW-INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP) Coronavirus Recovery Crisis Program. endstream endobj startxref English. ����6�ϮA�c���E����bV�� �a���1����� �R�[6�ۚ�Q�o׻�r�I��L簟����CΧU��k~�8��z�%��W�:_5�GQkf��$��ʑJf�%Q���~\5��:/Ȇ��4�cQ��3)˪������4��k�����22ޭ0������2/6w ���Yު�"k��6���T���sq�]ESB The Percentage of Income Payment Plan Plus (PIPP) is an extended payment plan in which customers pay a percentage of their income toward their utility bill each month. %%EOF The Energy Crisis Intervention Program (ECIP) provides assistance to low-income households that are in a crisis situation. LDSS-3421 (Rev. ,K �������HRg'62�2�@��N�%��̤�=��Fj�ن�Պ[����V�߭���s�QFk������������������F��4������͗.�~z�����]���|ܬ�l?������a���yٳ���~����~�v��~�_��_>q��Ks�rQq�����(X�����ͻ������~����y��R���q�v*�g������W�oZ�O/��r(/O����3]?m�f��~�a�ѷ!�#��z]4��қ/�n�_����.�9�՛��w����ǎӇ��|��w����gM���=���$*�I~ze���8�UT�=�ǧ���/� 0 �"�"�"�"�$��%q}Eh�Ҟ��`T�8�&�"�J e You are about to begin the application for the Home Energy Assistance Program (HEAP) Please refer to the video instructions below before proceeding with the application. h��Wmo�6�+��~h�bK��C��Y��á��aA>�/5�څ�^�?��T�M�]6�6�(��"��2*a�)�R&�&L*b��N�QLYb"�Rbb�[cͤ�9�d�(�,�D!��HY�R�`���MN�e�� endstream endobj 2621 0 obj <>/Metadata 142 0 R/Outlines 266 0 R/Pages 2615 0 R/StructTreeRoot 309 0 R/Type/Catalog>> endobj 2622 0 obj <>/Font<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 2623 0 obj <>stream The HEAP program is not an entitlement program. 1919 0 obj <>stream ;���ŀۭv^}���^�:�&��u��lv�X��q���e�#$�nGH���_��������Fp�����/�ֿ=�?��f��/�f�=���p��77w뷛���O�������O��������>�&}��ww��ؼ�y��y�$�o|Ϲ����'68���ۛ��k%%���w��Oy��AHq ���B�У��QG�q��W$T$V$U���)�u� �I�%�yb������K{B%!W�4�&�"�J�e� �Qc+�/�Ww�NJ�u�����& �Vă��j�+�A\E`4��g�Ћ��3b�ƀ���4zS���'�"�"�"�$.���%�x? The Home Energy Assistance Program (HEAP) provides one-time financial assistance to help balance an eligible household's utility bill. 5/17) home energy assistance program application please read the instructions attached to the back of the application.answer all questions.do not write in the shaded areas. 2627 0 obj <>/Filter/FlateDecode/ID[<22DB7A781BA6664F978B1798BC91F065><3342178739525E46B21011E36A59D35A>]/Index[2620 21]/Info 2619 0 R/Length 56/Prev 523721/Root 2621 0 R/Size 2641/Type/XRef/W[1 2 1]>>stream h��[]���ݟҏ{5��@`�7{����׈�O��@��d�Ɍ1#��߽U�:j59-�$��"|P�#6Y�.~4Y����;:ӻΧ�l濹#�}G��.���>w��D�t�v��)t�u���W|g2��h`}!v�x×R�zb�!q���� �MǶ�d�E��y�E'$�.z&^�&���(ij� �͑k�Ds"�%ќ�2I4g�]͙�X�a�]b�|��a�uH�ِM]b�Ʋ���p����8:�}g|O]&!|w�5�`]�Es�9�h�l=��d9�hN|;Y4g�;͑T�pGR�1cS��;bG2c�d ���93/,H �z�@�H�$,H>��Kk ��#6;����ތ�23��������r�L� �>bf��~�Mb���%��q�b�Z�A$������Y���ÌƐ���m����4��Fpl��F��1$6���b#���;��bC|+5c�W��s=ߗ�1�΍�ԜTX�|l��5e�̸-�cRfl�)�ޑ0nN�̼�މ����! If you are blind or seriously visually impaired and need this application in an alternative format, you may request one from your social services district. %PDF-1.6 %���� L�vm�S�&���&��� 388 ]��앿Lے�( l,��{�:��x`���� �&��z�����^�0�߄U� ��V�!6iV=�u. b�����j��')�R�-�"m��$eV��Z�4�������E>��d�զV�Y]2ƒ�B|�ÝC:�'�lA���.�9>��V��>�W�wW�#�Խ+�X��D���Q����䣍JD�e�'�o'�tG�Eؠ�Ep������{/C.l(ʠi���������;�֊�;N_�c�~㉌n ۓo�>��Cg;��)8!? �$�Ev_l�O&u�mOI�)���p6���nH

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