This is a legal form that was released by the New York State Office of Temporary and Disability Assistance - a government authority operating within New York.
The document is provided in Polish. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form LDSS-3421?
A: Form LDSS-3421 is the application for the Home Energy Assistance Program (HEAP) in New York.
Q: What is the Home Energy Assistance Program (HEAP)?
A: The Home Energy Assistance Program (HEAP) is a program in New York that helps eligible households pay their energy bills.
Q: Who can apply for HEAP?
A: Eligible households in New York can apply for HEAP.
Q: What does HEAP assist with?
A: HEAP assists with paying energy bills and also provides emergency assistance in certain situations.
Form Details:
Download a printable version of Form LDSS-3421 by clicking the link below or browse more documents and templates provided by the New York State Office of Temporary and Disability Assistance.