I am the head of household and my household has not received any income since date.
Maryland office of home energy programs resource provider statement.
All ohep program eligibility is income based and you do not need a turn off notice to qualify for assistance.
The office of home energy programs strongly encourages you to apply for assistance before you receive a turn off notice so that funds can be applied to your account as soon as possible.
Return this form to.
Maryland office of.
Energy assistance will not reduce the amount of any other public assistance benefits you receive read the rest.
Local agency will provide.
Maryland office of home energy programs household worksheet instructions.
Maryland office of.
The latest edition currently provided by the maryland department of human services.
If no one in your household has received any income in the last 30 days the applicant must complete and sign this form.
They must complete the resource provider statement.
Please assist us by providing information about how you helped during the past.
The office of home energy programs ohep provides bill assistance to low income households in the state of maryland to make their energy costs more affordable and to help with the prevention of loss and the restoration of home energy service.
The response to the first three basic needs shelter food and utility in the table below must be documented.
Home energy programs.
Resource provider statement return this form to.
If someone outside of a government agency is helping you with the items listed in the table below please have them complete this form.