Need Information? Please send questions to LIHEAP@thda.org
LIHEAP 2023 Program Information and Forms
- LI-01-LIHEAP Application
- LI-02 Vendor Agreement
- LI-03 Self-Declare Zero Income
- LI-04 Poverty Income Guidelines
- LI-05 Landlord Agreement
- LI-06 Self Employment Form
- LI-07 Assurance 16 Service & Usage Tracking Log
- LI-08 LIHEAP Reconciliation Report
- LI-09 LIHEAP Closeout Report
- LI-10 LIHEAP Budget-Amendment 2022
- LI-11 LIHEAP 2022 Invoice
- LI-12 LIHEAP Section 8 HCV Flowchart
- LI-13 LIHEAP PHA Flowchart
- LIHEAP Income Guidelines
- LIHEAP Landlord Agreement Spanish Version
- LIHEAP Self Declaration Zero Income Spanish Version
- LIHEAP Operational Manual
- LIHEAP-Brochure
- LIHEAP Flyer
- SAM 21-02 LIHEAP Instructions Memo
- Sam Search Direct Print
- Sam Search Download Version
Forms
- LIHEAP Earned Income Verification - COVID-19
- LIHEAP Application
- Vendor Agreement
- Declaration of Zero Income
- LIHEAP Budget
- LIHEAP Invoice Form
- LIHEAP Authorized Signature Form
- LIHEAP Training Form - Coming Soon
Guidance
- LIHEAP Memo 23-01
- LIHEAP Memo 20-03
- LIHEAP Memo 20-02
- LIHEAP Federal Regulations
- LIHEAP Model Plan
- Income Guidelines
- Operational Plan Template
Additional Resource
LIHEAP Federal Resources
 | U.S. Department of Energy's Energy Saver Web Site |
 | Telling Your Story : A Communications Guide A great little booklet we've written with tips on how you can effectively publicize the work you're doing within your community. As you increase awareness with the public and local officials, the greater support you will have, and the likelihood of gaining additional funding for future projects increases. |
 | Fair Housing Logo .png image - suitable for printing |
 | ADA Graphic .png image - suitable for printing |
Need more information?
Please send questions to LIHEAP@thda.org.