Home Energy Assistance Program Forms
The following forms are now available for Home Energy Assistance Program applicants to download for FY23 (October 2022-September 2023). Please contact our office at 508-588-5440 if you have related questions.
- Fiscal Year 2023 LIHEAP Application Addendum
- Fiscal Year 2023 Child Support/Alimony Documentation Form
- Fiscal Year 2023 Low Income / No Income Form
- Fiscal Year 2023 No Income (Zero Income) Statement
- Fiscal Year 2023 Financial Assistance
- Fiscal Year 2023 Income From Odd Jobs
- Fiscal year 2023 Proxy Authorization Form
- Fiscal Year 2023 New Utility Account Number / New Oil Dealer