- Expenditure Detail Report (Appendix 12B) (.xlsx)
- Application Requirements Tool (.pdf)
- Suspected Fraud for Benefits Cover Letter (Appendix 10C) (.docx)
- Crisis Fuel - Post Delivery Verification Form (Appendix 15E) (.docx)
- Self-Employment Income (1040- Schedule 1) Worksheet (Appendix 3B) (.xlsx)
- Energy Vendor Monitoring -SP Review Tool (Appendix 15D) (.docx)
- FFY25 policy updates issued in The Energizer
- Agreement Between MC and SP - fewer than 10 HHs (Appendix 16A) (.docx)
- Agreement Between EV and SP - fewer than 10 HHs (Appendix 15A) (.docx)
- Affidavit Declaring Change in Income (Appendix 3K) (fillable .pdf)
- DEED Earned Income Scenarios (Appendix 3L) (.pdf)
- Affidavit Declaring Change in Income (Appendix 3K) (.docx)
- ERR Inspection Letter (Appendix 6E) (.pdf)
- Key Change Notification form (Appendix 12A) (.pdf)
- VIE Requirements Tool (.pdf)
- Manage Application dropdown in eHEAT (Appendix 2C) (.pdf)
- Recertification Signature Page (.pdf)
- Trusts and Homeownership for ERR Tool (Appendix 6C)
- ERR Invoice Template (Appendix 6D)
- Questionnaire for Dwelling Eligibility – For Household Use (Appendix 3J) (.docx)
- Dwelling Eligibility Tool – Internal Use
- Suspected Fraud Denial Letter Template (Appendix 10D) (.docx)
- Verification of Income and Expenses Form (Appendix 3D) (fillable .pdf) - Spanish
- Verification of Income and Expenses Form (Appendix 3D (fillable .pdf) - English
- W-9 Form (irs.gov)
- Verification of Income and Expenses Form (Appendix 3D) (.docx) – in Spanish
- Verification of Income and Expenses Form (Appendix 3D) (.docx) - English
- Vendor Name Change Request Form (.pdf)
- Template for Garnishment Response Letter (Appendix 11E) (.docx)
- Statewide Information and Referral Services (Appendix 1C) (.pdf)
- SSN Exceptions & Alternatives (Appendix 3F) (.pdf)
- Social Security Calculation Worksheet (Appendix 3E) (.xls)
- Service Provider Purchase/Disposition Request (Appendix 14B) (.docx)
- Service Provider Out of State Travel Request Form (Appendix 14C) (.docx)
- Service Provider EAP Program Audit Disclosure Letter (Appendix 15A) (.doc)
- Self-Employment Income Cash Accounting Worksheet (Appendix 3C) (.xlsx)
- Safe at Home Participant Instruction (Appendix 2A) (.pdf)
- Safe at Home Fact Sheet - for EAP SPs
- Energy Self-Sufficiency & Outreach Report (A16) (Appendix 7A) (.xlsx)
- Required and Optional EAP Forms (.pdf)
- Reasonable Payment Worksheet (.xls)
- Online Income Documentation (Appendix 3G) (.pdf)
- Mechanical Contractor Registration for EAP Payments (Appendix 16B) (.docx)
- Mechanical Contractor - payment information
- Mail Return Service Requested (Appendix 8A) (.pdf)
- Local Level Formal Appeals - Required Tracking Sheet (Appendix 10B) (.docx)
- Leveraging Tracking Form (Appendix 12C) (.xlsx)
- Language Line Information (Appendix 1A) (.pdf)
- Informed Consent for Release of Data Form (Appendix 11A) (.pdf)
- Income Inclusions and Exclusions (Appendix 3A) (.pdf)
- Incident Report Form (Appendix 10A) (.docx)
- Handling Payments and Refunds in eHEAT when a Household Moves (Appendix 8D) (.pdf)
- ERR Forms (Appendix 6A) (.xlsx)
- Energy Vendor Registration for EAP Payment (Appendix 15G) (.docx)
- Energy Vendor Refunds in eHEAT (Appendix 8C) (.pdf)
- Energy Vendor Refund Form (.docx)
- Energy Vendor Price List (Appendix 15F) (.docx)
- Energy Vendor Monitoring Report Cover Letter (Appendix 15B) (.docx)
- Energy Vendor Monitoring Report (Appendix 15C) (.docx)
- Energy Vendor Audit Tool (.docx)
- eHEAT User Security Agreement (Appendix 11D) (.pdf)
- eHEAT Letters Examples (Appendix 9A) (.pdf)
- eHEAT Administrator Security Agreement (Appendix 11C) (.pdf)
- EAP Policy Manual Chapter 16 - Mechanical Contractors (.pdf)
- EAP Policy Manual Chapter 15 - Energy Vendors (.pdf)
- Documentation to Determine Eligible Non-Citizen Status (Appendix 3H) (.pdf)
- Debtors Exemption Claim Notice Example (Appendix 11B) (.pdf)
- Crisis Eligibility Decision Chart (Appendix 5A) (.pdf)
- Biofuel Worksheet (Appendix 4C) (.xlsx)
- Primary Heat Benefit Calculator (Appendix 4A) (.xlsx)
- Bank Change Request Form (.pdf)
- Audit Report Schedule (Appendix 13A) (.pdf)
- Agreement Between Mechanical Contractor and Service Provider (Appendix 16A) (.pdf)
- Agreement Between Energy Vendor and Service Provider (Appendix 15A) (.pdf)
- Affidavit Declaring Home Ownership (Appendix 6B) (.docx)
- Address Standards (Appendix 2B) (.pdf)
- Address Change Form Example (Appendix 8B) (.docx)
- Accessibility for People with Hearing and Speech Disabilities (.pdf)