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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

Eligibility and Reimbursements:

Reimbursements:

Asks the applicant if he/she has paid for any fuel delivered since October 1. The county should review the applicant’s responses to determine if reimbursements may be appropriate.

Weatherization and Other Services

Weatherization:

Weatherization and Other Services to: If you are determined eligible your signature on this application will permit the Community Action Agency in your area to contact you with information about weatherization services that can save you money on energy costs. There is no cost to you, and you are under no obligation. Community Action Agencies also offer other services which may be of help to you. The Self Reliance Program can help you with budget counseling and other needs. Energy Share can help with non-heat utility bills in emergency situations. Ask your county worker for more information.

Would you like to request that your furnace be cleaned? Q Yes Q No If YES, please specify the vendor you would prefer ______________ Would you like to have your chimney cleaned?  Yes  No If YES, please specify the vendor you would