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Louisiana LIHEAP Service Delivery Guide 42 | P a g e

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NOTE: Renters, who are unable to provide documentation that demonstrates monthly energy costs and rental cost separately, must have a LIHEAP Landlord Verification Form for Utilities Included in Rent (Appendix L) completed. Landlord must agree to pass on the benefit paid to the heating/cooling vendor in the form of a rent reduction for the tenant. 2. Verifying and Documenting Vulnerability Subgrantee must verify each applicant’s vulnerability for energy costs. Acceptable verification of vulnerability may include, but is not limited to, any one of the documents listed below (in addition to a copy of the energy supplier bill). A copy of the document provided to establish vulnerability must be retained in the applicant’s file, along with a copy of the applicant’s energy bill. Examples of documents used to establish Vulnerability:  Active Driver’s License or State issued ID card with the same address as the service address. (If the addresses do not match, you cannot establish vulnerability, but can use this for Identification purposes only).  Water Bill in client’s name with the same address  Property Tax Bill  Voter Registration Card  Original bill from another utility supplier which includes the household member’s name, the residential address to which utility is delivered, (this is often referred to as the Service Address on the vendor bill), an account number, the month and year when the utility costs were incurred, and the total amount due. Bill must not be more than thirty (30) days old.  A copy of the applicant’s lease or a copy of a rent receipt that displays the name of the applicant and the service address.  Any other written proof that the applicant is responsible for the residential household heating and cooling costs.  A document that includes the applicant’s name and address that matches the service address noted on the energy supplier bill.  If the applicant resides in subsidized housing (Section 8 or any other government housing assistance program), a copy of the full lease must be provided. The amount of any Utility Allowance received by the applicant must be entered into the Utility Allowance space in the Energy Consumption portion of the application.