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Required Documents

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Lake County, FL

LIHEAP Required Documents

Marker checking off the boxes

Documents Below are required with submission of application.

Additional LIHEAP Documents

Self Declaration Form - No income in past 30 days of occupants over the age of 18
Financial Assistance Form - Assistance provided by any source on a consistent basis
Utility Bill Agreement Form - Accounts not listed in
applicant name or any adult member inside the home

EnergyServices1217@gmail.com

 

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Weatherization Works in Florida


Lake Community Action Agency

501 North Bay Street
Eustis, Florida 32726
Phone: 352-357-5550 ~ Fax: 352-483-2298

 

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