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Energy Intake Form CSD 43-ENGLISH 2 - Locked - 2015 Update.xlsm - sbcounty

Energy Intake Form CSD 43-ENGLISH 2 - Locked - 2015 Update.xlsm - sbcounty-2025

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The document is an Energy Intake Form from the Department of Community Services and Development (CSD) designed to assess eligibility for utility bill discounts and energy assistance programs. It collects personal information, household income details, and utility usage data to determine if applicants qualify for benefits under the Low-Income Home Energy Assistance Program (LIHEAP) and related services. The form emphasizes the importance of providing accurate information for eligibility verification and outlines the rights of applicants regarding their data.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (95 Votes)
2015	4.4 Satisfied (184 Votes)
2014	4.3 Satisfied (273 Votes)
2013	4 Satisfied (37 Votes)
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