
01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.

The Energy Assistance Program (EAP) Landlord Housing Affidavit is a crucial document used by tenants seeking utility cost assistance. This affidavit serves as a verification tool requiring landlords to confirm the details of housing arrangements and utility costs. It is fundamental in ensuring accurate information, thereby facilitating tenants' eligibility for energy assistance benefits. The affidavit acts as a formal statement that captures vital data regarding heating and electric costs, providing essential verification for tenant applications within the Energy Assistance Program.
The process to obtain the Energy Assistance Program Landlord Housing Affidavit varies depending on one's location and local energy assistance agency. Typically, applicants must visit their local Department of Human Services office or the website of their state’s energy assistance program. Many states offer downloadable versions of the affidavit on their official websites, allowing landlords and tenants to access, complete, and submit the form electronically. It's essential to read state-specific instructions to ensure compliance with regional requirements.
Gather Necessary Information: Collect the tenant’s details, including full name and address, along with the landlord’s contact information.
Utility Cost Details: Provide a detailed account of both heating and electric costs, specifying whether these are included in rent or billed separately.
Signatures: Ensure that both the landlord (or authorized designee) and the tenant sign the affidavit to validate the provided information.
Submit the Form: Depending on state regulations, submit the completed affidavit through mail, online submission, or in-person delivery to the local assistance office.
For instance, if the landlord pays for the tenant's heating costs as part of the lease agreement, this detail must be clearly articulated, aiding in the evaluation of the tenant’s eligibility for EAP. Similarly, differentiating between fixed utility costs and variable expenses is crucial for accurate assistance processing.
Each state has unique regulatory requirements for processing the EAP Landlord Housing Affidavit. It’s imperative for landlords to familiarize themselves with these variations to avoid legal complications. Providing fraudulent information can lead to penalties such as fines or disqualification from participating in state programs. Awareness of state-specific submission deadlines ensures timely application processing.
Some states may require additional documentation alongside the affidavit, such as copies of utility bills or a copy of the rental agreement.
The affidavit is primarily completed by landlords or their authorized agents and is used by tenants applying for the Energy Assistance Program. It is also pertinent for low-income households, students renting off-campus with separate utility obligations, and elderly residents who qualify for energy cost support based on income.


Choosing between digital and paper versions mainly depends on applicant preference and convenience. The digital form allows for efficient submission and faster processing, while the paper version may be preferred by individuals with limited internet access. Utilizing platforms like DocHub provides enhanced compatibility with digital forms, offering streamlined editing, signing, and submission capabilities directly from cloud services or personal devices.
Eligibility for energy assistance programs usually requires that applicants meet certain income guidelines, demonstrate proof of residence, and experience financial constraints impacting their ability to cover utility costs. The affidavit plays a pivotal role in substantiating these claims, thus determining the applicant’s qualification for assistance.

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.
EAP provides a one-time annual benefit that can assist you with the high cost of home energy and can help if you are disconnected or are about to getRead more
A household with utilities included in their rent MUST SUBMIT A LANDLORD AFFIDAVIT. Applications may be submitted online. The fax number is 574-236-4891 Office