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2020 09/13/18 6 • A Lawful Permanent Resident, who is a non-Citizen granted legal residency in the United States, with the following status:

1) A USCIS Card I-151;

2) A USCIS Card I-551;

3) Other USCIS document indicating Permanent Resident Status.

Lawful Permanent Residence shall be verified. • Applicants, self-declaration of U. S. citizenship is acceptable, unless such declaration is questionable, then verification shall be requested. • Applicants or household members who do not meet the citizenship requirements will disqualify the individual from the program, but the income of the individual will continue to count against the household size less the disqualified individual. 2.3 Signatures and Identity:

All adult applicants and household members in the LIHEAP household must: a. Sign the application; b. Provide proof of identity, by providing a picture ID; c. Failure to sign the application or submit proof of identity disqualifies the entire household.

2.4 Social Security Numbers:

• All applicants and household members ages one year and older must provide verification of a Social Security Number. • Failure to provide a Social Security Number will disqualify the individual from the program, but all income will continue to count against the household less the disqualified individual.

2.5 Consent to Release

• All applicants must agree to release information of their utility account, past, current, and future to the Department of Human Services and provider agencies; • All applicants must agree to release information of their Department of Human Services cases to provider agencies and utility companies; • All applicants who are not the subscriber must provide a signed subscriber authorization form and identification of the subscriber. The applicant is responsible to pay the utility bill but is not the subscriber of the utility account and the subscriber is not part of the LIHEAP application. A subscriber shall not be a Realty Company, Realtor, Organization and Management Company, unless a signed agreement has been authorized by the State. • Failure to comply will result in household ineligibility.