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2. Service Off 3. Low Fuel (≤ 3 days) 4. Empty Fuel 5. Broken Fuel Burner 6. Broken Furnace (if uncertain, default to this) E. Vendor This auto-populates from the applicant record. F. Application Package Status ● Complete: All required documentation received; application placed in AWAITING status. Processed benefits will receive a 3% discount.

● Incomplete: Missing documentation; application placed in CRISIS-PENDING status. Eligible for immediate crisis benefit without the 3% discount. G. Date and Time Action Taken Record when the agency commits to resolving the crisis or makes a referral. H. Crisis Resolution Action Select one or more from: 1. Fuel Delivery Full Grant 2. Fuel Delivery Minimum Grant 3. 55-Day Hold 4. OHEP Utility Benefits 5. Referral – DHCD 6. Referral –DSS 7. Referral – Fuel Fund, Dollar Energy 8. Referral – Shelter 9. Referral – Church If none apply, document in the “Other” box. 8.4 Existing Applications Requesting Crisis Assistance If a household already has a pending application and a crisis develops during processing (November 1–March 31): ● Review the application for immediate eligibility certification.

Updated May 2025