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LIHEAP MANUAL JANUARY 2022 87

Comments

34. Signature of Worker(s)

35. Application Date

36. Local Agency Authorized Signature

37. Date Authorized

38. Date Keyed

Distribution Process for LIHEAP Application for Regular Assistance - make any desired comments pertinent to this application or applicant.

- all workers who assisted the applicant must sign the application in ink in the space provided. Signature stamps are not allowable.

- enter the date on which this application is taken as six digits in month, day, year sequence.

- Example: If the application is being completed on January 12, 2016, the application would be entered 0112 2016.

- When a pending application is taken, enter the date pending information is received below the application date.

- all applications, whether approved or disapproved, must be signed by the person authorized to sign for the agency.

- the signature must be different from that of the worker in Item 34. Signature stamps are not allowable.

- enter the date on which this application is signed as six digits in month, date, year sequence. Example: 01 13 2016

- Data Entry Operator (DEO) enters at the time of data entry into the EAP System.

1. Original first copy (white copy) is the payment copy and remains in the central office of the agency which issued the benefit check. The Income Worksheet and all verification documents are attached to this copy.

2. Second copy (yellow copy) is the client copy when the application is denied. The copy is given to or sent to the client after the reason for denial has been entered in the comment section, and the application has been signed bv the worker. All denied applications should be reviewed by the LIHEAP Coordinator before this process occurs.