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VIRGINIA DEPARTMENT

OF SOCIAL SERVICES ENERGY ASSISTANCE

06/04 VOLUME IX, CHAPTER J, APPENDIX A, PAGE 2

The following letter is sent to clients involved in the security deposit option plan. A copy will be sent to the LDSS for filing in the case record.

Virginia Department of Social Services Energy Assistance Program 801 East Main Street Richmond, VA 23219-3301

DATE

Case Name Street Address City, State zip code

Regarding: Energy Assistance Case #

Dear Case Name:

Your request for a security deposit to be paid by the Energy Assistance Program has been approved. Your vendor, has agreed to not charge for the amount of your security deposit if your monthly bill is paid on time for the next 12 months. This waiver of collection of your security deposit saves money for the Energy Assistance Program that can be used to serve other households in need.

If you do not pay your bills timely, your vendor will demand payment of the Security Deposit. Your vendor will also collect any outstanding account balances from you.

Please make every attempt to pay your vendor’s bill on time for the next 12 months. Your cooperation in this situation is greatly appreciated.

cc: FIPS # LDSS NAME

TRANSMITTAL #04-1