Low Income Home Energy Assistance Program (LIHEAP)

Utility Bill Assistance (Non-Crisis)

The Low Income Home Energy Assistance Program (LIHEAP) provides payments for home energy services to income-eligible households.

Applicants may only receive one LIHEAP benefit each season.

• Heating: November 15 – March 15
• Cooling: April 1 – September 30

The applicant must be responsible for paying the household energy bill.

Applicant must have an active heating/cooling utility account.

Proof of income, picture identification, and social security cards for all household members are required, along with a bill or printout from the client’s utility company/companies. Assistance is contingent upon the availability of funding.

Utility Bill Assistance (Crisis)

Residents may receive crisis assistance once a year with proof of income, picture identification, and social security cards for all household members along with a bill or printout from the applicant’s utility company/companies. Applicant must be responsible for the household energy cost and have a threatening or actual interruption of service. Assistance is contingent upon the availability of funding.

LIHEAP Forms

LIHEAP Application Form (PDF)

Complete this form to apply for the Low-Income Home Energy Assistance Program.

Verification of Employment (PDF)

Completed by Employer for individuals who cannot produce all required check stubs to determine income eligibility.

Self-Employment Self-Certification Form (PDF)

Completed by Self-Employed Individuals must attach recent tax returns or bank statements for months reported as Self-Employed.

LIHEAP Zero Income Form (PDF)

Completed by all household members 18 and over without income.

LIHEAP Zero Income Supplemental Sheet (PDF)

Complete by Head of Household only with no income

Statement of Contributions (PDF)

Completed by the person contributing to a zero-income household to cover household expenses.