Heaponline 2006 form-2026

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4.2 out of 5

30 votes

The document is an Energy Intake Form from the Department of Community Services and Development (CSD) designed for applicants seeking utility assistance through programs like HEAP and LIHEAP. It collects personal information, household demographics, income details, and utility preferences to determine eligibility for energy cost assistance and weatherization services. The form emphasizes the voluntary nature of the application and outlines the rights of applicants regarding their information.

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Click ‘Get Form’ to open the heaponline 2006 form in the editor.
Begin by filling out the highlighted areas. Start with your personal information, including your first name, middle initial, last name, and mailing address.
Next, provide your contact details such as email address and telephone number. Ensure that you enter accurate information for effective communication.
Indicate the total number of persons living in your household and their gross monthly income. This is crucial for determining eligibility for assistance.
Select the utility company you wish to receive payment from and check if utilities are included in rent or sub-metered.
Complete sections regarding demographics and type of dwelling. Be sure to circle or enter the number of people in specific age groups as required.
Finally, review all entered information for accuracy before signing and dating the application at the bottom of the form.

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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)
2012	4 Satisfied (37 Votes)
2006	4.2 Satisfied (30 Votes)

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