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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
• Signature certifies that: - Household was properly referred for case management services - Case has not been closed - Household was LIHEAP eligible during the current federal fiscal year • Checks that services on the monthly data report are in accord with the Action Plan Summary on file. • Resolves any questions with the case manager and/or CAA official. • Submits billing form to State LIHEAP Office for payment. Attach explanation of any unresolved questions.