LIHEAP Forms

Fuel Assistance Income Guidelines
Low-Income Home Energy Assistance Program (LIHEAP) Income Guidelines

LOW-INCOME / NO INCOME INTERVIEW FORM   
For use in cases of “no income” or when monthly income is equal to or less than $200.00 after housing costs are deducted.)  All sections of this form MUST be completed by applicant.

0 Income Form   
Each adult (ages 18+) household member reporting no income (zero income) is required to complete a section below.

No a las ganancias (cero ingresos) estado
Bajos Ingresos Programa Asistencia Energética para Hogares ( LIHEAP)
Forma descargable