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Wv application lieap 2012 form

Wv application lieap 2012 form-2025

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The document is an application form for the Low Income Energy Assistance Program (LIEAP) provided by the West Virginia Department of Health and Human Resources (DHHR). It includes sections for identifying information, home heating details, and signatures confirming understanding of eligibility requirements and liabilities. The form requires applicants to provide personal information, household income, heating costs, and consent for information sharing to determine eligibility for energy assistance.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (123 Votes)
2012	4.2 Satisfied (60 Votes)

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How to apply for Lieap in NC online?

Apply online via or; Pick up an application at 301 N Herman St, Goldsboro or; Contact the agency at 919-731-1577 to complete a telephone interview and/or have an application mailed to them.

How do I apply for LIEAP in WV?

LIEAP applications are available at your local DHHR Offices, Community Action Agencies or Senior Centers and on the Department of Health and Human Resources website.