Page 56

56 | P a g e October 25 Note: All pending notices and forms will be compiled together and be mailed to the client in one packet. Note: Pending correspondence is mailed out daily Monday - Friday. If a notification is sent by 5:00pm it will go out that day. Anything pending AFTER 5:00pm will be mailed the following business day. CHIMES Automatically generated forms: • About Your Case (AYC): Case approved (benefit amount, payee info), case denied, missing verifications, missing signatures, etc. • Energy Assistance Request for Fair Hearing– EAP 002 o Automatically attached to every notice- both auto and manually generated. • Account Not in Household Member Name – EAP 055 o Generated automatically when building an ANIHN case. • Agreement to Utilize LIHEAP Benefits to Purchase Wood – EAP 006 o Generated automatically on wood as primary heat cases. • Self-Declaration of Non-traditional Dwellings on an Eligible LIHEAP Case – EAP 050 o Generated automatically on Non-traditional dwelling cases. o Includes policy guidance document. Generate Manually - Available Forms: • General Information – CO-COMM-900 o Customizable letter to households • LIHEAP Change of Fuel Vendor Circumstance – EAP 011 • Agreement to Utilize LIHEAP Benefits to Purchase Wood – EAP 006 o Generated automatically on wood as primary heat cases. • Self-Declaration of Non-traditional Dwellings on an Eligible LIHEAP Case – EAP 050 o Generated automatically on Non-traditional dwelling cases. • LIHEAP and Weatherization Application – EAP 088 • LIHEAP Denied Duplicate Application – EAP 070 • Self-Employment, Rental Property and Business Equity – EAP 075 • LIHEAP Worksheet Form EAP 080 • LIHEAP Signature Declaration Form EAP 090 • LIHEAP Zero or Cash Income Form EAP 095 • LIHEAP Overpayment Letter – EAP 100 • LIHEAP Conversion of Benefits Form – (Fuel switch)