LIHEAP Forms and Funding Applications

Publication Date: April 25, 2012
Current as of:

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

FormDue Date   InstructionsGuidance
Model PlanSeptember 1

Reference Guide (PDF) 

 

LIHEAP Action Transmittal 2024-03

Household Report — Long Form (for state and territory grant recipients)

Household Report — Short Form (for tribal grant recipients)

 

Estimates:
September 18

Final:
December 31

Instructions (PDF) for the Household Report - Long Form

Instructions (PDF) for the Household Report - Short Form

LIHEAP Action Transmittal 2024-06
Carryover and Reallotment Report

Estimates:
August 1

Final:
December 31

Instructions (PDF) for the Carryover and Reallotment ReportLIHEAP Action Transmittal 2024-05
Performance Data Form (States Only)January 31Instructions (PDF) for the Performance Data FormLIHEAP Action Transmittal 2024-01
Financial Status Report (SF-425)December 31-LIHEAP Action Transmittal 2022-01
Quarterly Performance and Management ReportJanuary 31Instructions (PDF) for the Quarterly Performance and Management ReportLIHEAP Action Transmittal 2024-02
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Audiences:
Language