0 Paystubs for all earned income for the month prior of application. COMPASS: Access to Health and Human Services, Learn More about Pennsylvania's Medical Assistance expansion plan, Pennsylvania's Health Insurance Marketplace (Pennie), Low Income Home Energy Assistance Program (LIHEAP), Long Term Living Services - Home and Community Based, Long Term Living Services - Nursing Home and Related Facilities, 2021-2022 Pandemic Electronic Benefit Transfer, COMPASS Community Partner Web-Based Tutorial, COMPASS Community Partner Quick Reference Guide, COMPASS Community Partner Online Self-Registration Guide, COMPASS Training Guide for Food Service Directors and Staff, Early Learning Program and Provider Search Quick Reference Guide, Find Early Learning Programs and Child Care Providers, Find Home and Community Based Services Providers, Children's Health Insurance Program (CHIP), Supplemental Nutrition Assistance Program (Food Stamps). You should contact the local County Assistance Office or crisis contractor in your area. 0000058971 00000 n 0000160776 00000 n 0000062374 00000 n If you have other questions or need additional information, please visit the contact page for all up-to-date details. The Supplemental Nutrition Assistance Program (SNAP) and the School Meals program help you and your family buy food and receive nutritious free or reduced-price school meals. Working with it utilizing digital tools differs from doing so in the physical world. On-site County Assistance Office (CAO) services are available if clients cannot access . 0000021349 00000 n How much of my drinking water/wastewater arrears can be covered? 0000058814 00000 n Personal identification such as a driver's license, state-issued ID card, passport, etc. Thankfully, the program is available in every state, thus, all residents can apply for LIHEAP. 0000026921 00000 n 0000005172 00000 n The Low Income Home Energy Assistance program is called LIHEAP. The Department also receives input from the LIHEAP advisory committee and public hearings to determine rules and regulations. How to apply: Online at www.compass.state.pa.us At your local County Assistance Office Call 215-560-7226 to request a paper application For more information, visit www.dhs.pa.gov/WaterHelp If your application is denied, you may appeal. You need a reliable solution, like signNow that provides a signer with a digital certificate. 0000175965 00000 n Household Composition Verification Statement. 0000018335 00000 n 0000006181 00000 n Start filling out the blanks according to the instructions: hey this is low income is still winning low income and still winning um i wanted to talk to you about the low income home energy assistance program a lot of people don't know about this program some people know about it but there are still a lot of people who don't know about it um it's offered by the government all right and so um if you're you fall into a low-income bracket based off the amount of people who live in your house then you will qualify for this program and i'm going to read about it um what is this program what is this program let's read here oops go back up what is this program the low income home energy assistance program and um there's an acronym it's like i think the acronym is leap assist eligible low-income households with their heating and cooling energy bills energy costs bill payment assistance energy crisis assistance weatherization and energy related home repairs all right so it can help you with your energy bills when it comes to your house your apartment wh. 0000005342 00000 n 0000005059 00000 n 0000023525 00000 n Have questions? 0000009206 00000 n 0000159452 00000 n In addition to soliciting advice from the LIHEAP Advisory Committee (LAC), DHS held public hearings on the LIHEAP proposed Plan for Fiscal Year (FY) 2023in compliance with Federal LIHEAP requirements. With your My COMPASS Account, you can: Upload documentation for your application or case, View your benefit information, such as benefit amount and renewal date, Report changes to your case, such as a change in income or address, Manage other aspects of your benefits online. 0000027191 00000 n The sigNow extension was developed to help busy people like you to decrease the stress of putting your signature on legal forms. Otherwise it will display "No" and the "Vendor Name" will show the vendor where the . Select the area where you want to insert your eSignature and then draw it in the popup window. 0000001570 00000 n deadline day. Read all the field labels carefully. 0000122048 00000 n 126 0 obj <>stream Eligibility (2022-2023) Household SizeAnnualMonthly1$20,385$1,6992$27,465$2,2893$34,545$2,8794$41,625$3,4697 more rows, LIHEAP Income Guidelines (effective through May 31, 2023): Number of people in your householdYour total household income cannot exceed this amount in a 30-day period1$2,2652$3,0523$3,8384$4,6256 more rows. 0000002214 00000 n The maximum amount is $2500 per water type. There are several ways to apply to the Low-Income Home Energy Assistance Program: Pick Up an Application at your local ETHRA office. It offers many of the same features f. Apply. 0000159491 00000 n What do I do if I receive a shut off notice from my gas or electric company? 0000027774 00000 n You will be taken back to the COMPASS homepage. Households can apply online through the ePASS portal atepass.nc.gov or by submitting a paper application through mail, fax or dropping it off at their local Department of Social Services, without having to go into the agency to apply. 0000124033 00000 n Zero Income Statement. Get access to thousands of forms. If your income is equal to or below the guidelines, you could be eligible for a LIHEAP benefit. Find Your County Assistance Office 3. PWEA 37. 0000174840 00000 n 0000058366 00000 n 0000003707 00000 n Call us between 8:30 a.m. and 4:45 p.m. Monday through Friday. How do I provide verifications? You Must Take Action to Keep Your Medical Assistance in 2023! If your application is approved, the grant will be issued either to you or to the utility company within 15 days after. How to Apply. Print one from our website and email the completed the application to LIHEAP@ethra.org. An eligible household may receive LIHWAP funds for drinking water or wastewater emergencies such as instances where a household has a termination notice, if the service is already terminated, or if arrearages are owed. 0000146397 00000 n The Low Income Home Energy Assistance Program (LIHEAP) helps families living on low incomes pay their heating bills in the form of a cash grant. Please contact the school your child attends. Find child care and other early learning programs near you. First, the LIHEAP system compares your gross income and household size to the Federal Poverty Income Guidelines. The liheap application print out form isnt an any different. Review what benefits you receive, check the status of submitted applications, upload documents, submit your Semi-Annual Reporting (SAR), and report changes directly from your phone. 0000009231 00000 n Oct 1, 2020 HOW TO APPLY FOR ENERGY ASSISTANCE: 1. Paper applications can also be downloaded from the DHS LIHEAP web page. 0000190605 00000 n HealthChoices, Pennsylvania's Medical Assistance program, provides you and your family with many health care options. Your County/Case Record Number and Redetermination Date are on the redetermination letter. My COMPASS Account is a secure, central location for your application and benefit information. In order to access your e-Form, please provide the following information: e-Form #. Hours of Operation: Monday - Friday, 8:00 a.m. - 5:00 p.m. trailer Service Providers and Business Partners are public utilities that provide Lifeline and other program benefits to low-income individuals. The Supplemental Nutrition Assistance Program (SNAP) and the School Meals program help you and your family buy food and receive nutritious free or reduced-price school meals. Use the Cross or Check marks in the top toolbar to select your answers in the list boxes. A face-to-face interview is not required at this time. LIHEAP, LIHWAP and Weatherizatio n benefits Paper applications: Call the LIHEAP Helpline at 1-866-857-7095 to request a paper application. startxref Households may Apply ONCE each program year (September 2, 2022- May 31, 2023). If you wish to share the liheap application print out form with other parties, it is possible to send the file by email. Applications are accepted on a monthly basis year round from October 1st - September 30th. Pennsylvanians who are behind on or having trouble paying home heating bills are encouraged to apply for LIHEAP . 0000002297 00000 n The Low Income Energy Assistance Program (LIEAP) is a federally-funded program that provides for a one-time vendor payment to help eligible households pay their heating bills. Start putting your signature on liheap application print out form using our tool and join the millions of happy clients whove already experienced the key benefits of in-mail signing. The local agency will let you know in writing within 30 days from the date you apply. Crisis applications are taken year round, and are dependent on the availability of funds. We know how stressing completing forms could be. Home and Community Based Services provide services beyond those covered by Medical Assistance that enable an individual to remain in a community setting. 0000138404 00000 n State extends LIHEAP deadline. 0000168262 00000 n Please contact the school your child attends. %%EOF 2022-23 APPLICATION FOR THE LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP) To apply for Energy Assistance, you must complete all questions front and back and sign at the red "X". endstream endobj 1441 0 obj <>/Filter/FlateDecode/Index[76 1305]/Length 55/Size 1381/Type/XRef/W[1 1 1]>>stream 0000146712 00000 n Harrisburg, PA - Department of Human Services (DHS) Acting Secretary Dr. Val Arkoosh today announced the Low-Income Home Energy Assistance Program (LIHEAP) season has been extended from April 28 to May 12.Acting Secretary Arkoosh urged Pennsylvanians who are behind on or having trouble paying home heating bills to apply for LIHEAP Cash and LIHEAP Crisis benefits before the new deadline. Dual-factor authentication: provides an extra layer of security and validates other parties' identities through additional means, like an SMS or phone call. 0000008833 00000 n If you have a question during non-business hours or prefer to use email. You should contact the local County Assistance Office or crisis contractor in your area. Record Number Call us between 8:30 a.m. and 4:45 p.m. Monday through Friday. LIHEAP is a grant that offers assistance in the form of a cash grant, sent directly to the utility company, or a crisis grant for households in immediate danger of being without heat. There are three ways to apply for LIHEAP: online application, paper application or in person. A total of ninepersons attended the hearings. Open the email you received with the documents that need signing. 0000181872 00000 n As a result, you can download the signed liheap application print out form to your device or share it with other parties involved with a link or by email. . 0000160735 00000 n FERPA, CCPA, HIPAA, and GDPR: major privacy regulations in the USA and Europe. The Supplemental Nutriment Assistance Timetable (SNAP) and of School Meals program help you and your family buy food and receive nutritious get or reduced-price school lunch. Worker I.D. The money does not have to be paid back. HS EA 6. LIHEAP Application Form. Get Started Get the myCOMPASS PA App Today! As the society takes a step away from office working conditions, the execution of paperwork increasingly occurs electronically. The LIHWAP program will close on September 30, 2023 or when the program expends all the funds. https://www.dhs.pa.gov/Services/Assistance/Pages/CAO-Contact.aspx. Resources such as bank accounts are not considered for LIHEAP. LAC recommendations and all other comments and testimony were taken into consideration in developing program parameters for the Final State Plan. Create an account using your email or sign in via Google or Facebook. startxref "LIHEAP helps some of the Commonwealth's most vulnerable citizens - children, older Pennsylvanians, people with disabilities, and low-income families - make ends meet and keep their homes safer. 0000121524 00000 n Community Partners are community-based agencies, organizations, coalitions, hospitals, church groups, sponsors of the National School Lunch Program (NSLP) and other groups that wish to help Pennsylvanians submit applications for health and human services. & Weatherization Application To apply for the LIHEAP and LIHWAP, this application must be completed and returned to your local eligibility office LIHEAP heat assistance applications will NOT. Eligibility will be determined to the local LIHEAP Contracted Agency. Connect to a smooth connection to the internet and start completing documents with a court-admissible eSignature in minutes. Document(s) showing drinking water and/or wastewater arrears due. Compliance with eSignature laws is only a fraction of what signNow can offer to make document execution legal and secure. 0000006457 00000 n Low-Income Home Energy Assistance Program (LIHEAP) Electronic . If you are hearing impaired, call TTY/TTD at 1-800-451-5886. If you have any questions about renewing online, please contact your County Assistance Office. $1 Energy FundIf you live outside of Philadelphia, visit the$1 Energy Fund website, or contact your utility company for information on programs that could help you pay your bill. After your application is reviewed, you will receive written notice explaining your eligibility and the amount of assistance you will receive. LIHWAP is a federally funded program which enables the state to assist low-income households with drinking water and 0000011337 00000 n Due to its cross-platform nature, signNow works on any gadget and any OS. and click "I'm A Homeowner" for home insulation basics that can help save money on heating and cooling. Visiting your local County Assistance Office Applying online at http://www.compass.state.pa.us County Assistance Office addresses and telephone numbers 0000108894 00000 n As part of the LIHEAP program, funds are set aside for home heating repairs. To renew online, you must identify yourself by entering your Social Security Number, County/Case Record, and Renewal Due Date. 0000181831 00000 n 0000121817 00000 n APPLICATION FOR THE LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP) To apply for Energy Assistance, you must complete all questions front and back and sign at the red "X". To redetermine online, you must identify yourself by entering your Social Security Number, County/Case Record Number, and Redetermination Date. If you are hearing impaired, call TTY/TTD at 1-800-451-5886. The Supplemental Nutrition Assistance Program (SNAP) and the School Meals program help you and your family buy food and receive nutritious free or reduced-price school meals. Instructions, contact your local county assistance office. District The income limit for the program is 150% of the federal poverty limit. HSEA 18. Home Address (Include Street, Apt. 0000025522 00000 n Assistance with home heating crisis situationsis available 24 hours a day. 0000145394 00000 n 1381 62 When this happens, you will be logged out automatically. And due to its cross-platform nature, signNow can be used on any gadget, PC or smartphone, regardless of the operating system. A total of nineindividuals or organizations provided oral testimony at the hearings and. 0000089069 00000 n County Assistance Office Benefit Renewal Search You may renew benefits online if you have received a renewal notice in the mail. Eligibility (2022-2023) Select the area you want to sign and click. Homeowners and most renters can get LIHEAP. You may be eligible for LIHEAP but your local service provider does not use our service. Proudly founded in 1681 as a place of tolerance and freedom. If you have a question during non-business hours or prefer to use email. . 0000023287 00000 n 0000122186 00000 n They assist low income people and families with their heating and cooling bills. The 2022 to 2023 LIHEAP season will begin accepting applications on November 1, 2022. Turn down. The program helps families living on low incomes to pay heating bills with a grant. To renew online, you must identify yourself by entering your Social Security Number, County/Case Record, and Renewal Due Date. They are especially vital when it comes to stipulations and signatures associated with them. YOU CAN ALSO APPLY ONLINE AT WWW.COMPASS.STATE.PA.US. 0000176004 00000 n Depending on preference, different options are available to apply for LIHEAP: Apply online: Pennsylvanians can apply at www.compass.state.pa.us. Printing and scanning is no longer the best way to manage documents. You can check whether there is a service provider for your area using our service by using our search tool You may renew your Child Care Subsidy benefits online if you have received a redetermination letter in the mail. Are You: . Use professional pre-built templates to fill in and sign documents online faster. The LIHEAP Vendor Unit is available to handle all issues concerning vendors and can be reached at 1-877-537-9517, Monday through Friday, 8:00 AM to 4:00 PM. 0000089166 00000 n The cash grant is a one-time payment sent directly to the utility company/fuel provider to be credited on your bill. If you need more time, please click "Continue" below or close this window. There are several methods of obtaining a LIHEAP application form: online, in-person or by mail. Eligibility for LIHEAP services can vary depending on income, household size, place of residence, and other factors. 0000144250 00000 n Get access to thousands of forms. This will pre-fill your application with the information we have on file for your household. If incorrect, cross out and PRINT correctly in space provided below. With your My COMPASS Account, you can: Upload documentation for your application or case, View your benefit information, such as benefit amount and renewal date, Report changes to your case, such as a change in income or address, Manage other aspects of your benefits online. Community Partners are community-based agencies, organizations, coalitions, hospitals, church groups, sponsors of the National School Lunch Program (NSLP) and other groups that wish to help Pennsylvanians submit applications for health and human services. The signNow application is equally as productive and powerful as the web app is. Your County/Case Record and your Renewal Due Date are on the renewal notice. Call 865-691-2551 EXT 4825 for an application to be mailed to you. Get Started Emergency Rental Assistance Program Start your application or recertify. Look through the document several times and make sure that all fields are completed with the correct information. 0000167808 00000 n 0000008694 00000 n Online Use the COMPASS website. Do you want to continue? 0000058885 00000 n Individuals may also contact their local DSS by phone to apply. 0000003409 00000 n 0000062650 00000 n In addition to that, signNow keeps compliance with ESIGN, UETA, and eIDAS - key legal frameworks for eSignatures. <<21E6767BE5CFCB45AD948BCC76FFE03D>]/Prev 908087>> Please visit the CHIP website at www.chipcoverspakids.com and click on "FAQ" at the top right corner to find answers to most questions. Pennsylvanians who are behind on or having trouble paying home heating bills are encouraged to apply for LIHEAP benefits before the new deadline. 0000198350 00000 n What do I do if I run out of fuel and have no money to pay for it? Seal off. Apply for LIHEAP (Using your COMPASS Registration Number). The amount of the benefit is determined based on income, the area where you live, type of fuel used, and the household size. =%XN2y3I0b`bx)Qc7C.H &!6Ip@OzYFfmQ]QIA +0gfdL`g8Pgx@q$`EyB Y Vendors have the option to receive payments and/or Remittance Advices electronically. 0000016566 00000 n Emergency situations include: For more information about LIHEAP, please contact yourcounty assistance office, or call the LIHEAP hotline at1-866-857-7095, Monday through Friday. However, you can apply for Weatherization all year. The LIHWAP program will close on September 30, 2023 or when the program expends all the funds. Log in to your My COMPASS Account to submit a LIHEAP application with your registration number. How can I get help repairing my furnace? wastewater account in their name with a participating vendor in order to be eligible for LIHWAP. You can see if you qualify, apply for, or renew benefits at the click of a button. If the household is not receiving LIHEAP, then the word "None" will be displayed. SOC 2 Type II and PCI DSS certification: legal frameworks that are established to protect online user data and payment information. COMPASS - Commonwealth of Pennsylvania Access to Social Services. HSEA 4. If you need more time, please click "Continue" below or close this window. You can apply for LIHEAP in three different ways Apply online: To apply online, you can visit COMPASS (http://www.compass.state.pa.us/) website and fill an online application. If I receive LIHEAP, will a lien be place on my home? 0000025417 00000 n Contact Us. 0000058100 00000 n The following services are not available to be applied for on COMPASS, but you can submit a referral to express your interest in the service. How is the LIHWAP payment issued? Go to the Chrome Web Store and add the signNow extension to your browser. Apply in person: In order to apply for the program in person, you just have to visit your nearest country assistance office. You may be trying to access this site from a secured browser on the server. Emails can be directed to RA-LIHEAPVendors@pa.gov. Proudly founded in 1681 as a place of tolerance and freedom. 0000018989 00000 n Decide on what kind of eSignature to create. 1. Pennsylvanians can apply for LIHEAP and other public assistance programs online at www.compass.state.pa.us Those who prefer to submit paper applications can print from the website or request an application by phone at 1-800-692-7462 and mail it to their local County Assistance Office (CAO) or place it in a CAO's secure drop box, if available. 0000017218 00000 n Rental release and indemnity agreement given by customer in favor of equipment supplier for pole dancing parties form, Employment agreement with registered nurse form, Help Me With eSign Alabama Real Estate PDF. 0000015812 00000 n How It Works and Who Can Apply. In-Person Your local county assistance office can help answer any questions and assist you in person. For the 2021-22 season, LIHEAP assistance is available from Oct. 18, 2021 through May 6, 2022. MyCOMPASSAccount. Use signNow to electronically sign and send Printable liheap application form for eSigning. Pennsylvanians can apply for LIHEAP and other public assistance programs online at compass.state.pa.us. No lien is required to receive LIHEAP benefits. 0000012834 00000 n 0000028036 00000 n Drinking water and/or wastewater account information. 0000000016 00000 n 62 0 obj <> endobj LIHWAP assistance is paid directly to the vendor. Furthermore, it offers a lot of opportunities for smooth completion security wise. Start completing the fillable fields and carefully type in required information. Call us between 8:30 a.m. and 4:45 p.m. Monday through Friday. 0000121113 00000 n COMPASS: Access to Health and Human Services, Learn More about Pennsylvania's Medical Assistance expansion plan, Pennsylvania's Health Insurance Marketplace (Pennie), Low Income Home Energy Assistance Program (LIHEAP), Long Term Living Services - Home and Community Based, Long Term Living Services - Nursing Home and Related Facilities, 2021-2022 Pandemic Electronic Benefit Transfer, COMPASS Community Partner Web-Based Tutorial, COMPASS Community Partner Quick Reference Guide, COMPASS Community Partner Online Self-Registration Guide, COMPASS Training Guide for Food Service Directors and Staff, Early Learning Program and Provider Search Quick Reference Guide, Find Early Learning Programs and Child Care Providers, Find Home and Community Based Services Providers, Children's Health Insurance Program (CHIP), Supplemental Nutrition Assistance Program (Food Stamps). Low-Income Home Energy Assistance Program (LIHEAP) 1348 W. Sedgley Ave. Philadelphia, PA 19132-2498: Page 2: HSEA 1 7/20: CASH 0000153744 00000 n 11. because LIHEAP money has run out. Be sure your correct and complete name and address is . Applications can be submitted online at https://www.COMPASS.state.pa.us. Number, City, State & ZIP Code+4) If your income is equal to or below the guidelines, you could be eligible for a LIHEAP benefit. Applicants can complete a CIP application by mail, email, fax or drop-off at their local DSS. Speed up your businesss document workflow by creating the professional online forms and legally-binding electronic signatures. Are households with private wells or septic systems eligible? be accepted after April 30, 2023. The Low-Income Home Energy Assistance Program, also known as LIHEAP, helps low-income families pay their heating and cooling bills. We help those seeking to apply for assistance benefits by providing them with the information they need to: understand the requirements of the program, learn about the application process and seek to get the most out of their benefits. Do you want to continue? Do you want to continue? 0000167767 00000 n HealthChoices, Pennsylvania's Medical Assistance program, provides you and your family with many health care options. LIHEAP: 570-826-2041 . If you were mailed a postcard or application for the 2022-2023 season, you may apply for LIHEAP using the COMPASS registration number which was mailed to you. My COMPASS Account is a secure, central location for your application and benefit information.
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