Home Energy Assistance Program

The Maine State Housing Authority (MaineHousing) is pleased to provide its Community Action Agency partners with web access to Home Energy Assistance Program forms and manuals.

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HEAT Enterprise

Program Forms

PY2025 FORMS

Application - HEAP - Additional Information Fillable
Application - HEAP fillable
PY2025 HEAP Bundle 9-11-2024

Application Reopen Monthly Log
Application Update Form
Benefit Return Form 09052023
Citizenship Attestation
Denial Notification10112024
Document Checklist and Bundle Cover Sheet
File Notes
Landlord Affidavit
Permission to Share Information
Reminder Form
Self Employment Worksheet
Void Notification
Waiver Request

ECIP

Crisis Checklist
ECIP Credit Notification
ECIP Credit Notification Provisional Measures CTE Repair
ECIP Denial Notification
How To- Create A Crisis Record
How To- Deny a Crisis Record
How To- Enter ECIP for Payment and Upload Documentation
How To- Rescind an ECIP a Credit Notification
Upfront Delivery Request

Instructions

Application Reopen Monthly Log Instructions
Benefit Return Form CAA Instructions 10132023
Denial Notification Instructions
Landlord Affidavit Instructions
Permission to Share Information Instructions
Reminder Form Instructions
Self Employment Worksheet Instructions
Waiver Request Form Instructions

Non-English Forms

Agency Forms

Agency Authorization to Release Information 10052022
Agency Authorization to Release VA Benefit 10052022
Agency Forms Bundle Cover Sheet 10052022
Agency HEAP Income Verification 10052022

Program Tools

Screening/Intake

Training/Outreach

HEAP CAA Training PY2025 - Day 2
HEAP CAA Training PY2025 - Day 1
HEAP Acronym Sheet

Utility Program Forms

CMP-LIAP Form
CMP Medical Equipment Necessity Form
Versant Oxygen Ventilator Pump Certification Form-2017
AMP Application
Versant LIAP Application Form PY2021

Online Application

Program Guidance and Marketing

Program Guidance

PY25 ECIP Handbook 10-29-2024
PY25 HEAP Handbook 10-22-2024
CH 24 - Home Energy Assistance Program Rule

Notifications