Page 106

APPENDIX P Effective: April 1, 2026 Louisiana Housing Corporation LIHEAP Request for Client Assistance Refund Deposit Date Prepared Payment Date LHC Refund Re Invoiced Purchase Order Total 0 Crisis Services Non-Crisis Services Monitoring Program Specialist Date Program Mgr Approval Date Payment Account Reason Client Name Non-Crisis Crisis CAP Agency Invoice # ALLOCATION Vendor Date Number for Refund Client Number First Name Last Name Check No. Services Services TOTAL BY FUNDING SOURCE - $ - $ TOTAL BY FUNDING SOURCE - $ - $ TOTAL BY FUNDING SOURCE - $ - $ TOTAL BY FUNDING SOURCE - $ - $ TOTAL BY FUNDING SOURCE - $ - $ TOTAL BY FUNDING SOURCE - $ - $ TOTAL BY FUNDING SOURCE - $ - $ TOTAL BY FUNDING SOURCE - $ - $ TOTAL BY FUNDING SOURCE - $ - $ TOTAL BY FUNDING SOURCE - $ - $ Service Total -

-

Grand Total - $ GRAND TOTALS - $ LIHEAP Payments See Data sheet for ALLOCATIONS -

-