Page 101
DIVISION OF STATE SERVICE CENTERS OFFICE OF COMMUNITY SERVICES DELAWARE ENERGY ASSISTANCE PROGRAM OPERATIONS MANUAL (DEAP) NUMBER: 1800 Program: LIHEAP/Forms STANDARD OPERATING PROCEDURE: LOW-INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP) FORMS Approved: Date:_________________
Director:______________________ SECTION 1800 FORMS Forms Fuel Assistance Program 1100. Form Number
Name 1. Action Transmittal (Sample) 2.
Additional Information (Request for) 3. Application 4.
Application Code Sheet 5.
Carryover and Re-Allotment Report 6.
Case File Review Form: Air Conditioners 7.
Case File Review Form: Regular Fuel-Crisis-Regular Cooling 8.
Certification Checklist 9.
Client Eligibility/Denial Letter 10.
Computer Acknowledgement Statement 11.
Computer Non-Disclosure Agreement 12.
Computer User Authorization Form 13.
Contract Boilerplate 14.
Crisis Report Form 15.
Grantee Survey Form 16.
Fair Hearing Summary Report 17.
Federal Financial Report (425) 18.
Household Report Form 19.
Income Calculation Worksheet 20.
Income Eligibility Guidelines 21.
Information Memorandum (Sample) 22.
Invoice (Samples) 23.
Landlord Verification