3001-1      APPLICATION FORM AVAILABILITY

An applicant must apply for heating assistance benefits using either the DPADivision of Public Assistance HAPHeating Assistance Program application form (HAP1) or by completing the telephonic application submission process. The form must be signed by the head-of-household, or an individual authorized by the household to act on its behalf. The Heating Assistance Program pre-mails applications directly to all households that received heating assistance in the previous year and to those who have contacted the program to request one. Applications are also available at or from: all DPADivision of Public Assistance offices, Fee Agents, home heating suppliers, senior centers, Special Supplemental Food Program for WICWomen, Infant and Children clinics, Head Start Centers, concerned agencies, the internet at www.heatinghelp.alaska.gov and by mail at:

Heating Assistance Program

PO Box 110640

Juneau, AK 99811-0640

Email: hss.dpa.offices@alaska.gov

Application forms are pre-mailed to the elderly and disabled in late-September, to families with young children in early-October, and to all other participants from the previous season in mid-October.