Home Energy Assistance Program

The Maine State Housing Authority (MaineHousing) is pleased to provide its Community Action Agency partners with web access to Home Energy Assistance Program forms and manuals.

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HEAT Enterprise

Program Forms

PY2024 FORMS

2024 HEAP Bundle 08/12/2023

Application Update Form 07172023
Application Voided Form 07172023
Benefit Return Form 09/12/2023
Denial Notification 07172023
Denial Notification- Over Income 07172023
Denial Reversal Log
Denial Reversal Monthly Log Instructions 07172023
Document Checklist and Bundle Cover Sheet 07172023
Document Verification Form 07172023
File Notes 07172023
HEAP Application 7172023
Income Information Confidentiality Waiver and Penalty Provision 07172023
Income Worksheet 08/02/2023
Landlord Affidavit 07172023
Minor Child(ren) Primary Residence Form 07172023
Odd Job Income Worksheet 08/02/2023
Permission to Share Information 07172023
Reminder Form 07172023
Self Employment Worksheet 07172023
Subsidized Housing Form 07172023
Upfront Delivery Request 07172023
Waiver Request 07172023

ECIP

ECIP Agreement to Stop Eviction 10262022
ECIP Document Checklist and Bundle Cover Sheet 10262022
ECIP File Notes 10262022
ECIP FORMS BUNDLE 10262022
ECIP Purchase Order CTE-Repair 10262022
ECIP Purchase Order Fuel 10262022
ECIP Purchase Order Provisional Measures 10262022
Emergency Worksheet - Provisional 10262022
Emergency Worksheet 10262022 1
Emergency Worksheet Instructions 10262022
Upfront Delivery Request 10262022
Upfront Request Form Instructions 10262022

Instructions

Benefit Return Forms Instructions 08/02/2023
Denial Reversal Monthly Log Instructions 07172023
Document Verification Form Instructions 07172023
Income Worksheet Instructions 08/02/2023
Landlord Affidavit Instructions 07172023
Minor Child(ren) Primary Residency Instructions 07172023
Odd Job Income Affidavit Instructions 07172023
Permission to Share Information Instructions 07172023
Reminder Form Instructions 07172023
Self Employment Worksheet Instructions 07172023
Subsidized Housing Form Instructions 07172023
Waiver Request Form Instructions 07172023

Non-English Forms

HEAP Examples of Acceptable Documents Arabic
HEAP Examples of Acceptable Documents French
HEAP Examples of Acceptable Documents Kinyarwanda
HEAP Examples of Acceptable Documents Lingala
HEAP Examples of Acceptable Documents Portuguese
HEAP Examples of Acceptable Documents Somali
HEAP Examples of Acceptable Documents Spanish
HEAP Income Information Confidentiality Waiver and Penalty Provision 08232021 SPANISH
HEAP Income Information Confidentiality Waiver and Penalty Provision 08232021 ARABIC
HEAP Income Information Confidentiality Waiver and Penalty Provision 08232021 FRENCH
HEAP Income Information Confidentiality Waiver and Penalty Provision 08232021 KINYARWANDA
HEAP Income Information Confidentiality Waiver and Penalty Provision 08232021 LINGALA
HEAP Income Information Confidentiality Waiver and Penalty Provision 08232021 PORTUGUESE
HEAP Income Information Confidentiality Waiver and Penalty Provision 08232021 SOMALI
Reminder form 08022023 Arabic
Reminder form 08022023 French
Reminder form 08022023 Kinyarwanda
Reminder form 08022023 Lingala
Reminder form 08022023 Portuguese
Reminder form 08022023 Somali
Reminder form 08022023 Spanish

Agency Forms

Agency Authorization to Release Information 10052022
Agency Authorization to Release VA Benefit 10052022
Agency Forms Bundle Cover Sheet 10052022
Agency HEAP Income Verification 10052022

Program Tools

Screening/Intake

02 - How To - Create ECIP PY2023
03 - How To - Enter Delivery Payment Information
04 - How To - Rescind And Create a New Purchase Order
05 - How To - Create An Second ECIP
300 Percent FPL - State Funds
Certifier Checklist
ECIP Reconciliation Guidance
How To - Complete A Denial Reversal
How To - Process Deceased Applicants
How To - Set Up Additional Benefit Amount
How to Change Primary Applicant
How To Change The Order Of Field Columns in HEAP Cloud
How to Create a Filter
How To for Searching HEAP Applications
How To Verify Applicant and Landlord Addresses

Training/Outreach

HEAP Acronym Sheet
PY2024 CAA HEAP Training Combined Presentation Slideset
PY2023 ECIP Presentation full version

Utility Program Forms

CMP Medical Equipment Necessity Form
Versant Oxygen Ventilator Pump Certification Form-2017
AMP Application
Versant LIAP Application Form PY2021

Online Application

How to Merge an On-Line Application with a Prior Year Application
HEAP Online Application Process Map

Program Guidance and Marketing

Program Guidance

Maine LIHEAP State Model Plan FFY2024 Proposed 05152023
Chapter 24 - HEAP - 07032023
PY24 HEAP Handbook 07172023
Maine LIHEAP STATE MODEL PLAN _10_01_2022

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26 Edison Drive, Augusta Maine 04330
(800) 452-4668 | (207) 626-4600
Fax: (207) 626-4678 | Maine Relay 711