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ENERGY ASSISTANCE PROGRAMS

Section One: Application Process Intake, Operations & Policy Manual

Program Year 2026 18 ENERGY/WEATHERIZATION ASSISTANCE APPLICATION--- Required Language for Applications ENERGY/WEATHERIZATION ASSISTANCE APPLICATION---REQUIRED APPLICANT DISCLOSURES AND APPROVALS PART 1: APPLICANT NOTICE, PROGRAM DISCLAIMERS, AND APPLICANT RESPONSIBLITIES, WAIVER & RELEASE ❖ I, Applicant, understand that the government energy and weatherization assistance programs are voluntary and my application is subject to a review process to determine my household’s eligibility. ❖ I understand that in order for my household’s application to be considered, I must submit a complete application that provides all required information. ❖ I understand that I may be required to provide additional information or documentation to determine my household’s eligibility. ❖ I understand that my household’s application and additional information or documentation materials will all become part of my household’s application (“Application”). ❖ I understand that determinations on assistance eligibility are made by the state’s Oregon Housing and Community Services (OHCS) department in conjunction with contracted subgrantee agencies (“Subgrantees”). ❖ In the event that my household’s Application is denied, I may be entitled to a review of my Application under applicable Oregon Administrative Rules. ❖ Upon successful enrollment in the LIHEAP/OEAP programs, I further authorize OHCS and the State of Oregon, including designated subcontractors, and OHCS Subgrantees to release my Application and ongoing LIHEAP/OEAP program benefit information held by OHCS (including its subcontractors and OHCS Subgrantees) to the Energy Services Provider (as defined below) for the purposes of administering, monitoring, researching, and evaluating LIHEAP/OEAP program delivery and efficiency. ❖ I declare that the information I provide to complete my Application is true and correct. ❖ I agree to comply with the government energy and weatherization assistance program requirements for eligible households.