LIEAP Application - DPHHS Home 2026

1. Click ‘Get Form’ to open the LIEAP Application in our editor.
2. Begin by filling out Section 1, which requires your household address information. Ensure that both physical and mailing addresses are accurate.
3. In Section 2, list all household members. Provide their names, birth dates, and Social Security numbers as required. Use the provided codes for relationship and employment status.
4. Proceed to Section 3 to indicate your housing type and landlord information if applicable. This section helps determine your eligibility based on your living situation.
5. In Section 4, attach a copy of your most recent home energy bill. Specify your primary and secondary energy vendors along with account numbers.
6. Complete Sections 5 through 7 by detailing all sources of income and resources for each household member. Make sure to include necessary documentation for verification.
7. Finally, review the application checklist at the end of the form to ensure all sections are completed before submitting it to your local LIEAP office.

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