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Low Income Home Energy Assistance Program Division 10 Service 415 Program 415 Chapters 05 - 65 North Dakota Department of Health and Human Services
Child Care
Check "yes" or "no" enter the amount, and indicate how often (weekly, monthly, etc.) it is paid. NOTE: child care eligible for deduction must be related to work, education, or training.
Child/Spousal Support:
Check "yes" or "no" to child/spousal support paid and provide the amount.
Housing
Be sure one of these is checked, as it is needed to determine the amount of benefits.
Type of Home:
Be sure one of these is checked, as it is needed to determine the amount of benefits.
# of Bedrooms:
This is to include the number of rooms in the living unit which are designed to be sleeping areas. Indicate the number of bedrooms on each floor. If, however, the apartment does not have a separate sleeping room such as in some "efficiency" apartments which have only a "hide-a-bed" in the main living area, the home would count one bedroom. The number of bedrooms establishes the size of the dwelling for purposes of finding the average cost of heating from the cost/consumption tables.
Own/Rent:
Check whether the household rents or owns its living unit.
Check whether the rent payment includes the