LIHEAP Forms
The following forms are available for LIHEAP applicants to download. Please contact our office at 508-588-5440 if you have related questions.
- Fiscal Year 2020 Financial Assistance Statement
- Fiscal Year 2020 LIHEAP Addendum Application
- Child Support/Alimony Documentation Form
- Fiscal Year 2020 Low Income No Income Form
- Fiscal Year 2020 No Income (Zero Income) Statement
- Fiscal Year 2020 Income From Odd Jobs – Notarized Income Statement
- Fiscal Year 2020 Proxy Authorization Form
- Fiscal Year 2020 New Vendor (Utility or Fuel Dealer)