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Middlesex Massachusetts online Form 8594: What You Should Know
No person shall have received an award of the Low-Income Home Energy Assistance (LIH EAP) program to qualify for LIH EAP. All applications for the LIH EAP program shall be filed in person or by mail. The application shall include the following statements: (1) the name and contact information for the person who paid for the home or a child, if applicable; (2) the name, address, and social security number of the owner, agent, or a family member of the owner; (3) a description of the home, including the following: (a) The location and address of the home; (b) Identification of any units included or to be included in the home, if the unit has an electric heating element; (c) Identification of any units not included in the home, if any, including any gas or propane stove or cooking stove and any refrigerator; (d) Identification of any units excluded from the home under Section 16-105a, including the type of stove, refrigerator and fuel used; (e) Identification of any units excluded from the home, if any, including any unit that does not consume fuel; (f) Identification of any units excluded from the home, if any, including any unit that is a commercial heating unit; (g) The amount the owner is eligible to receive in rent and other payments under Section 16-104 or 16-103; (h) The amount the owner is eligible to receive toward electricity or heat and air-conditioning; (i) The type and amount of insurance that the owner, agent, or a family member is required to maintain for the unit; and (j) If the application relates to the owner's home, an affidavit by a member of the Massachusetts Peace Officers (Rights) Commission and a copy of the Police Manual or Massachusetts Safety and Security Code.
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