If someone outside of a government agency is helping you with the items listed in the table below please have them complete this form.
Maryland office of home energy programs resource provider statement.
The latest edition currently provided by the maryland department of human services.
They must complete the resource provider statement.
Resource provider statement return this form to.
Energy assistance will not reduce the amount of any other public assistance benefits you receive read the rest.
The response to the first three basic needs shelter food and utility in the table below must be documented.
Home energy programs.
I am the head of household and my household has not received any income since date.
Maryland office of home energy programs household worksheet instructions.
Resource provider statement form office of home energy programs is a legal document that was released by the maryland department of human services a government authority operating within maryland.
Please assist us by providing information about how you helped during the past.
Released on may 1 2017.
The office of home energy programs strongly encourages you to apply for assistance before you receive a turn off notice so that funds can be applied to your account as soon as possible.
Home energy programs.
The office of home energy programs ohep provides bill assistance to low income households in the state of maryland to make their energy costs more affordable and to help with the prevention of loss and the restoration of home energy service.
Local agency will provide.
Maryland office of.
Return this form to.