WebLDSS 4867 (Rev. 5/19) HEAP Heating Equipment Repair and Replacement Worksheet HOUSEHOLD RESOURCES Resource Yes No Account Name Bank/ Financial Institution Amount Cash on Hand $ Savings, Checking, CD’s $ Stocks, Bonds $ IRA, 401K, Annuity, etc. $ Other Liquid Resources $ Total Resources $ Standard Deduction of $3000 -$3000 WebLDSS-3421) is expected to arrive by September 14, 2024, and the Spanish version is expected to arrive by September 20, 2024. Any orders for these forms received from …
HOME ENERGY ASSISTANCE PROGRAM APPLICATION - New York …
Webldss-3421 (rev. 6/11) page 3 section 4: household income report any income for all household members. all amounts must be reported as gross monthly income before any … WebHEAP Application Kit. Applicant households may apply by completing the HEAP Regular Benefit Application (LDSS-3421). The 2024-2024 Regular HEAP benefit opened on … play doh parent company
LDSS-2921 - Spanish – New York Temporary Assistance …
WebEdit your ldss 3421 form online Type text, add images, blackout confidential details, add comments, highlights and more. 02. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 03. Share your form with others Send ldss 3421 ny via email, link, or fax. Webldss-3421 (rev. 6/09) home energy assistance program application. 2009-10 . home energy assistance program. answer . all. questions. do not . write in the . shaded. areas. please . print. clearly, and sign the form on page 4. complete the white boxes below . … WebHome Energy Assistance Program (HEAP) Application (LDSS-3421) LDSS-3421 - Arabic, LDSS-3421 - Bengali, LDSS-3421 - Chinese, LDSS-3421 - Haitian Creole, LDSS-3421 - … LDSS-3421 BR (Spanish) (Not available online.) Application Booklets Informatio… primary demand is defined as