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Reimbursements (for mileage, gas, lodging, meals, etc.)
Other
*Military family allotments *Net gaming winnings *Net rental income *Net receipts from self-employment *Net royalties *Periodic receipts from estates or trusts *Regular Contributions that are not loans to be re-paid. *Training stipends *Worker's compensation benefits.
If any of the above questions require further explanation or clarification that could not be made in the fields provided, attach a document with said explanation here. 1.10 Do you have an online application process Yes No 1.10a If yes, describe the type of online application (Select all boxes that apply)
A PDF version of the application is available online and can be downloaded, filled out and mailed in for processing.
A state-wide online application that allows a customer to complete data entry and submit an application electronically for processing.
One or more locally available online applications that allows a customer to complete data entry and submit an application electronically for processing.
Online application that is also mobile friendly
Other, please describe
Please include a link(s) to a statewide application, if available:
1.10b Can all program components be applied for online? Yes No If no, explain which components can and cannot be applied for online.
1.11 Do you have a process for conducting and completing applications by phone Yes No 1.12 Do you or any of your subrecipients require in person appointments in order to apply Yes No If yes, please provide more information regarding why in-person appointments are required and in what circumstances they are required. Per Section 3.3, A.2.a. of the Louisiana LIHEAP Service Delivery Guide: Applications Subgrantees must incorporate telephone calls, walk-ins, mail-ins and online applications to apply. Subgrantees should maintain a chronological log of all applicants, including the applicant’s name, contact method, date and time, and the time and date of the application. Subgrantee must ensure their policies and procedures clearly state how they will assist all clients in a fair and consistent manner while allowing for crisis to be addressed within federal timelines (See Section 5.1. D). LHC will review this policy during annual monitoring visits. 1.13 How can applicants submit documentation for verification? Select all that apply:
In-person
Portal application
Other, please describe
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