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  • HOME
  • ABOUT
    • ANNOUNCEMENTS
    • HISTORY
    • MISSION
    • LEADERSHIP
    • REPORTING
      • TOWN IMPACT REPORTS
    • LOCATIONS
  • PROGRAMS
    • HOME ENERGY ASSISTANCE
      • REQUIRED FORMS
      • HOME ENERGY ASSISTANCE OUTREACH SITES
      • HEAP FAQs
    • ENERGY CONSERVATION
      • WEATHERIZATION
      • HEATING SYSTEM REPAIR & REPLACEMENT
      • AMPS PROGRAM
    • EARLY EDUCATION
      • EARLY HEAD START
      • HEAD START
      • FULL DAY CHILDCARE
      • SCHOOL AGED CHILDCARE
    • TRANSPORTATION
    • FOOD RESOURCES
      • FOOD DISTRIBUTION CENTER
      • FOOD DRIVES
      • AREA PANTRIES AND MEAL PROGRAMS
      • SNAP BENEFITS INFO
    • EMERGENCY ASSISTANCE
    • SOUTH SHORE FAMILY NETWORK
      • RESOURCES FOR FAMILIES
      • SSFN EVENTS
    • CONSUMER AID
    • TAX ASSISTANCE
  • HOW YOU CAN HELP
    • VOLUNTEER
    • DONATE
    • EAST WAREHAM SCHOOL
  • EVENTS
    • SSCAC LOCAL HEROES
      • MEET OUR LOCAL HEROES
      • SUPPORT LOCAL HEROES
      • PURCHASE TICKETS
      • ONLINE AUCTION
    • MARCH MANIA 2025
  • CAREERS
  • CONTACT
DONATE

HEAP Forms


Below you will find the forms you may need to complete your Home Energy Assistance Application.

Home Energy Assistance forms are available for download in PDF Format.

Child Support/Alimony Document Form

Proxy Authorization Form

Employment Income Verification Form

No Income (Zero Income) Statement

Financial Assistance Statement Form

Low Income/No Income Form

No Mortgage/No Homeowner's Insurance Statement Form

Odd Jobs Income Statement Form

Application Addendum Form

No Signature Form

Vendor Change Form

Arrearage Programs

Eversource Forgiveness Program

National Grid Arrearage Program

Columbia Gas Arrearage Program

 

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SSCAC is supported by private, municipal, county, state, and federal funding. SSCAC’s funders do not operate or control, are not responsible for, or necessarily endorse this website (including, without limitation, its content, technical infrastructure, and policies, and any services or tools provided). The opinions, findings, conclusions, and recommendations expressed are those of SSCAC and do not necessarily reflect the views of our funders.

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