Energy Assistance

Program Documents Low Income Home Energy Assistance Program Weatherization Assistance Program Workshops     Income Eligibility Determination Handbook Current Income Limits     Community Action Provider Information Technology Questionnaire Community Action Provider (CAP) ID Request Form Hancock Energy System Error, Modification, and/or Enhancement Notification Hancock Energy System User Manual Hancock Energy System (Requires Prior Approval) Energy Assistance Contact Request Form

Low Income Home Energy Assistance Program

Low Income Housing Energy Assistance Program

Table of Download Files

Following is a list of Adobe Acrobat files available for downloading.  Documents in Adobe Acrobat "pdf" file format must be viewed with Adobe Acrobat Reader. If you do not have Acrobat Reader, a free version can be downloaded from www.adobe.com . 

 

 

2008 WAP Public Hearing (.pdf 1page)

2008 WAP Draft State Plan (.pdf 18 pages)

2007 State Plan (As Amended) (.pdf 18 pages)

2007 State Plan (As Amended) Public Hearing (.pdf 1 page)

Form 1 – Application for Assistance (.pdf 2 pages)

Form 1a – Utility Allowance Worksheet (.pdf 1  page)

Form 3 – Applicant Statistical Data Collection (.pdf 1 page)

Form 4 – Request for Payment (.pdf 2 pages)

Form 5 –  Vendor Payment Form (.pdf 1 page)

Form 6 – Client Contact Form (.pdf 1 page)

Form 8 – Crisis Assistance Form (.pdf 1 page)

Form 9 – Monthly Production Report (.pdf 1 page)

Form 10 – Verification of Employment (.pdf 2 pages)

Form 11 – Income Determination Worksheet (.pdf 2 pages)

Form 12 – Annual Close-out Report (.pdf 2 pages)

 

  

Assistance is available on an equal basis regardless of race, color, familial status, national origin, religion, sex or handicap.