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74 | P a g e October 25 • Signed Self-declaration form (EAP 050) as applicant’s attestation that the heating appliance is being used in accordance with the manufacturer’s specifications.

Note: EAP 050 - Authorization of Property owner/Landowner section is only required if applicable to the non-traditional dwelling’s circumstances.

Note: Eligible LIHEAP applicants living in non-traditional dwellings will receive a flat rate benefit of $150 regardless of heat type or electrical connection*. The benefit will not need to be calculated.

Case change scenarios: • If a non-traditional household is approved for LIHEAP, and received a flat rate amount of $150, HH then reapplies in the same heating season, BUT did not change dwelling, then HH will be denied because they have already received a non-traditional benefit. • If non-traditional household is approved for LIHEAP, and receives a flat rate of $150, HH then reapplies in the same heating season, and change to any other dwelling type. CHIMES would evaluate the HH for pro-rated benefits. • If any other dwelling type household is approved for LIHEAP, and receives benefits, HH then reapplies in the same heating season and changes to a non-traditional dwelling. CHIMES would evaluate the HH for the flat rate amount.

*Electrical connection scenarios: • Electric connections which are the responsibility of the applicant (connected to applicants’ own equipment such as solar panel or generator) = Eligible • Electric connections plugged in at commercial operations such as campground or RV park = Eligible • Electric connections which are connected to a private residence or other building/business = Not eligible o Potential for duplication of benefits o Payment obligation for electricity is not with the non-traditional applicant.

Eligibility for LIHEAP may be denied due to an unsafe condition present in the dwelling that may cause a potential health and safety hazard to the occupants. Due to the nature of non-traditional dwellings, there is a greater risk of fire and hazardous air quality. A heating appliance in a non-traditional dwelling that is not installed or operating according to the manufacturer’s specification or current code is considered an unsafe condition. A non-operating heating appliance is not a primary cause for ineligibility. LIHEAP eligibility staff may request verification of the heating system’s