To submit the Iowa LIHEAP and Weatherization Assistance Program application, gather all required documents including proof of income and recent energy bills. Complete the application form and sign the certification statement. Submit the application by mailing it to the local community action agency, or by emailing or faxing it to the agency's contact information provided on their official website. Make sure to keep copies of all documents for your records.

The Iowa LIHEAP and Weatherization Assistance Program application deadlines for 2024 and 2025 will be announced by the state. Ensure to check the official Iowa government website for updates.

The purpose of the Iowa LIHEAP and Weatherization Assistance Program application is to provide financial assistance to low-income households in Iowa to help them manage their energy costs. By filling out this form, eligible households can receive aid to reduce their heating and cooling expenses and improve energy efficiency through weatherization services. This application gathers necessary information about the household's financial situation, energy needs, and other relevant details to determine eligibility and the level of assistance required. By participating in these programs, households can achieve better energy efficiency, reduce their energy bills, and improve their overall living conditions. The form ensures that assistance is provided to those who need it most, promoting energy conservation and financial stability for low-income families in Iowa.

• 1. HEAD OF HOUSEHOLD CONTACT INFORMATION: Includes fields for last name, first name, middle initial, street address, city, county, state, zip code, mailing address, email address, home phone number, and cell number.
• 2. HOUSEHOLD MEMBER INFORMATION: Collects information about each household member including name, relation to head of household, date of birth, gender, social security number or I-94 number, disability status, health insurance, Hispanic/Latino/Spanish origin, race, military status, highest level of education, and employment status.
• 3. HOUSEHOLD TYPE: Checkboxes to indicate the household composition such as single person, two adults no children, single parent female, single parent male, two parent household, non-related adults with children, multigenerational household, or other.
• 4. HOUSEHOLD INCOME SOURCES: Checkboxes to indicate income sources such as employment income, self-employment or farm income, social security retirement income, pension, SSI, SSDI, VA disability compensation, private disability insurance, workers' compensation, unemployment insurance, TANF/FIP assistance, cash contributions, alimony, general relief, child support, no income, or other.
• 5. HOUSEHOLD NON-CASH BENEFITS: Checkboxes to indicate non-cash benefits like SNAP, HCV, HUD-VASH, WIC, LIHEAP, public housing, childcare voucher, permanent supportive housing, and Affordable Care Act subsidy.
• 6. HOUSEHOLD HEATING AND ELECTRIC COMPANIES: Fields for providing details about heating and electric companies including whether there is a disconnect notice and if currently disconnected.
• 7. HOUSING STATUS: Checkboxes to indicate housing status such as own, rent, other permanent housing, homeless, or other.
• 8. HOUSING TYPE: Checkboxes to indicate housing type like house, mobile home, 2-4 unit apartment, 5+ unit apartment, rent a room, or other.
• 9. MAIN SOURCE OF HOME HEATING: Checkboxes to indicate the main source of home heating such as electric, propane, wood/coal/corn, natural gas, fuel oil, or other.
• 10. LANDLORD, PROJECT, COMPLEX INFORMATION: Fields for providing landlord or project complex information including name, address, phone number, and monthly mortgage or rent costs.
• 11. CERTIFICATION STATEMENT: A statement certifying the truthfulness of the information provided, granting permission for information sharing, and acknowledging the terms and conditions of the application.

Failure to submit this form can result in not receiving the financial assistance needed for managing energy costs and weatherization of your home. It may lead to increased financial strain and potential disconnection of energy services.

• Ineligibility for Financial Assistance: You will not receive the financial aid to help with energy costs, potentially increasing out-of-pocket expenses.
• Risk of Energy Service Disconnection: Without assistance, you may face disconnection notices and lose access to essential energy services.
• Missed Weatherization Services: Failing to apply will make you ineligible for weatherization services, resulting in higher energy consumption and costs.

• 1. Applying for LIHEAP: Use this form to apply for the Low-Income Home Energy Assistance Program to receive financial aid for energy costs.
• 2. Requesting Weatherization Services: Submit this application to receive weatherization services that improve your home's energy efficiency.
• 3. Avoiding Energy Service Disconnection: Use this form to seek assistance if you have received disconnection notices or are at risk of losing energy services.
• 4. Demonstrating Financial Need: Fill out this form to provide the necessary information to show your household's financial need for assistance.
• 5. Accessing Multiple Assistance Programs: Complete this application to qualify for various state and federal assistance programs designed to help low-income households.