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Below are the rights and responsibilities of each LIHEAP applicant. If the application is received in a manner where the applicant cannot sign the application, the Subgrantee must ensure that the applicant understands each of these rights and responsibilities.

  1. Every applicant will be treated courteously and with dignity and respect.
  2. Every potential applicant can request information regarding eligibility requirements, available services, rights and responsibilities of applicants/recipients and payment procedures. No inquiry will be ignored. This information should be available on the Subgrantee's website as far as practical.
  3. If requested, the applicant will receive an application from the Subgrantee in person or by mail and submit the application without an interview being conducted at the same time.
  4. The applicant may submit an application at any of the Subgrantee offices serving the area of residence by any means accepted by the Subgrantee. It is the applicants responsibility to provide all necessary information and verification.
  5. If the applicant is an individual with a disability, she/he has the right to be provided with the means to submit an application for energy assistance without leaving his/her home.
  6. When taking an application in person or over the phone, Subgrantee should encourage the applicant to provide as much information about their circumstances as possible to establish eligibility and inform them of their responsibility to make a good-faith effort to fully complete the application prior to submittal.
  7. The Subgrantee should inform the applicant that by applying, the applicant authorizes the Subgrantee to release information relating to the application for LIHEAP to the applicant's Energy Supplier(s) to determine eligibility. This includes giving permission to Arkansas Energy Office (AEO) to use information provided on this form for purposes of research, evaluation, and analysis of the program.
  8. The applicant should be informed that the utility service provider will have no control over the data disclosed pursuant to this consent and will not be responsible for monitoring or taking any steps to ensure that the LIHEAP office maintains the confidentiality of the data or uses of the data.
  9. The Subgrantee should advise the applicant that only legal residents of the United States included in the application will be used in determining their household size. The income of any illegal resident aliens living as part of the household must be included on the application to determine the total household income.
  10. The Subgrantee must advise the applicant, when applicable, how benefits will be coordinated on their approved application.
  11. The Subgrantee must not deny benefit assistance on the basis of race, color, sex, age, handicap, religion, national origin, or political belief.
  12. The Subgrantee must advise the applicant that the signature on this application authorizes the agency to make any investigation concerning any household member and/or use a copy of the application as a release of information for securing information needed to determine eligibility for services.
  13. The Subgrantee must inform the applicant that if assistance is received as a result of withholding information or knowingly providing false or fraudulent information regarding the applicant's circumstances, the applicant must repay the dollar amount of assistance received and may face penalty or criminal prosecution.
  14. The Subgrantee must advise the applicant that the information given on the application must be true to the best of the applicant's knowledge and belief. The Subgrantee must also inform the applicant that once the form is signed the applicant is subject to penalties for perjury.
  15. The applicant must be sent written notification of the disposition of the application within thirty (30) days for Regular Assistance and within 18 hours for an emergency Crisis and 48 hours for Crisis after application is complete.
  16. The applicant must receive payment within thirty-five (35) days from the date the application is approved for Regular and twenty (20) days for Crisis Intervention.
  17. The Subgrantee is required to inform the applicant of his/her right to appeal any decision regarding the application, including denial and any delay in decision or delivery of services (refer to Section 12000).
  18. All the applicant's records must be kept confidential.