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LIHEAP Forms and Funding Applications

Published: April 25, 2012
Low Income Home Energy Assistance Program (LIHEAP)
Prospective Grantees/ Applying for a grant, Guidance, Policies, Procedures

All forms for LIHEAP must be submitted thruogh the On-Line Data Collection (OLDC) System
To request access to OLDC complete the Access Form and submit it to the OLDC Help Desk.


Due Date



Model Plan

September 1


LIHEAP Action Transmittal 2015-03

Household Report – Long Form (for state and territory grantees)

December 15

Instructions for the Household Report - Long Form

LIHEAP Action Transmittal 2014-05

Household Report – Short Form (for tribal grantees)

December 15

Instructions for the Household Report - Short Form

LIHEAP Action Transmittal 2014-05

Carryover and Reallotment Report

December 1

Instructions for the FY 2015 Carryover and Reallotment Report

LIHEAP Action Transmittal 2015-04

Quarterly Allocation Estimates

September 1


LIHEAP Action Transmittal 2014-04

LIHEAP Performance Data Form

December 15

Instructions for the Performance Data Form

LIHEAP Action Transmittal 2015-02

Federal Financial Report 

December 31

General Instructions for completing the SF 425 

LIHEAP Action Transmittal 2013-02

Leveraging Report


Instructions for the Leveraging Reprot



Last Reviewed: November 16, 2015