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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

SFN 530, Computerized Calculations 415-65-10-40 (Revised 10/1/17 ML #3512) View Archives

This form is available through the Department of Human Services and may also be obtained electronically via E-Forms.

Lines 8-13 are calculations the computer will automatically compute based on the amounts from Lines 1-7 which the eligibility worker entered on the "Household Data" computer screen.

Line 8: The estimated Household annual heating share is calculated based on the Poverty level Percentage (415-30-05) times the adjusted household income from Line 6.

Line 9:

The estimated annual LIHEAP share is calculated using the cost of heat, Line 7, minus the household heat share from Line 8.

Line_10:

Enter either the LIHEAP percentage from Line 10a or the adjusted percentage from Line 10b if the household has electric heat only. The computer will round up to the nearest 5% but no higher than 95%. If the percentage calculation is between 0-5%, a lump sum payment of $50 will automatically be generated and the case will go to a status 10. If the percentage calculates between 6-10%, the percentage will