Page 1689

West Virginia Income Maintenance Manual Chapter 20

West Virginia Income Maintenance Manual Page 54 Chapter 20 Emergency and Special Assistance Programs

20.4.2.C Application When the client receives the application, it contains the name and birth date of all eligible persons in the AG, effective date, case number, address, the Social Security Number for the primary person, and a date by which the application should be returned to WVAW. In addition, a waiver at the bottom of the form must be signed by the payee to allow the DOHS to verify eligibility of the AG for the water company. 20.4.2.D Role of the Local Office The local office must: • Refer inquiries about the program from WVAW customers to the DFA. • Send the DFA the name, address, case number and Social Security Number of clients claiming to be qualified for the discount who reported they did not receive an application packet or whose original packet was lost or destroyed. 20.4.3 SEWER COMPANY (West Virginia American Water (WVAW) ONLY) 20.4.3.A Introduction West Virginia American Water sewer customers who receive one of the following benefits are eligible to receive the 20% utility discount. This program operates year-round. • SNAP and over age 60 • SSI and at least 18 years old NOTE: If the client claims the original application has been lost or stolen and does not report a new address, the Worker must issue a duplicate form in the eligibility system. If a new address is reported by the client, then the new address, along with the case name, number, and Social Security Number must be forwarded to the DFA so the address can be updated and a new form issued by the DFA.

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Page 1689

Official source

West Virginia Income Maintenance Manual Chapter 20

West Virginia Income Maintenance Manual Page 54 Chapter 20 Emergency and Special Assistance Programs

20.4.2.C Application When the client receives the application, it contains the name and birth date of all eligible persons in the AG, effective date, case number, address, the Social Security Number for the primary person, and a date by which the application should be returned to WVAW. In addition, a waiver at the bottom of the form must be signed by the payee to allow the DOHS to verify eligibility of the AG for the water company. 20.4.2.D Role of the Local Office The local office must: • Refer inquiries about the program from WVAW customers to the DFA. • Send the DFA the name, address, case number and Social Security Number of clients claiming to be qualified for the discount who reported they did not receive an application packet or whose original packet was lost or destroyed. 20.4.3 SEWER COMPANY (West Virginia American Water (WVAW) ONLY) 20.4.3.A Introduction West Virginia American Water sewer customers who receive one of the following benefits are eligible to receive the 20% utility discount. This program operates year-round. • SNAP and over age 60 • SSI and at least 18 years old NOTE: If the client claims the original application has been lost or stolen and does not report a new address, the Worker must issue a duplicate form in the eligibility system. If a new address is reported by the client, then the new address, along with the case name, number, and Social Security Number must be forwarded to the DFA so the address can be updated and a new form issued by the DFA.