Liheap application form california pdf alameda county 2026

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  1. Click ‘Get Form’ to open the LIHEAP application form in the editor.
  2. Begin by entering your personal information in the designated fields, including your first name, last name, and date of birth. Ensure accuracy as this information is crucial for eligibility verification.
  3. Fill out your mailing address and service address. If they are the same, check the appropriate box to save time.
  4. Indicate the total number of people living in your household and how many receive income. This helps determine your eligibility based on income guidelines provided in the document.
  5. Complete the income section by entering total gross monthly income for all household members. Be sure to include all sources of income such as TANF, SSI/SSP, and wages.
  6. Review all sections carefully before signing. Your signature confirms that you consent to share this information with relevant agencies for processing.

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