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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

Include Heat: cost of heating. If the rent payment DOES include the cost of heat, the ONLY information completed in Part VI will be the type of fuel, which is needed to compute benefits. The applicant in these cases receives a DIRECT payment rather than a payment through a vendor.

Rental Assistance:

If the renter DOES receive rental assistance, it will be necessary to evaluate as described in 20-10-30 whether this household is eligible for the purposes of this program.

Amount of Rent:

Indicate amount of rent tenant pays per month.

Landlord’s Name:

Provide landlord’s name, address, phone.

Heating:

Type of Heat (Primary and Secondary):

The type of heat should be that which the applicant expects to be using the balance of the heating season.

If more than one type of fuel is used, label which type is the "primary" source of heat. If a primary source cannot be identified, benefits will be established using the type of heat which is the more costly. Both primary and secondary heat sources will be identified on the computer "Household Data" screen.