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.

Sharefile

Program Forms

PY2026 FORMS

Application - HEAP - Additional Information Fillable
Application - HEAP fillable
PY2026 Bundle 8-29-2025

Application Questionnaire
Application Reopen Monthly Log
Application Update Form (1)
Benefit Return Form
Citizenship Attestation
Denial Notification
Denial Notification (End of Program Year)
Document Checklist and Bundle Cover Sheet
Landlord Affidavit
Permission to Share Information
Reminder Form - Face To Face and Online Application (1)
Reminder Form - Telephone Application (1)
Self Employment Worksheet
Void Notification
Void Notification (End of Year)
Waiver Request

ECIP

ECIP Credit Notification
ECIP Credit Notification Provisional Measures CTE Repair
ECIP Denial Notification
Emergency Worksheet - Provisional PY2026
Emergency Worksheet PY2026
Upfront Delivery Request- Non-emergency

Instructions

Application Reopen Monthly Log Instructions
Benefit Return Form CAA Instructions
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

Reminder Form - Face To Face and Online Application Arabic
Reminder Form - Face To Face and Online Application French
Reminder Form - Face To Face and Online Application Kinyarwanda
Reminder Form - Face To Face and Online Application Lingala
Reminder Form - Face To Face and Online Application Portuguese
Reminder Form - Face To Face and Online Application Somali
Reminder Form - Face To Face and Online Application Spanish

Agency Forms

Agency Authorization to Release Information

Program Tools

Screening/Intake

Training/Outreach

HEAP Acronym Sheet

Utility Program Forms

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

How To- Create A Crisis Record
How To- Enter ECIP for Payment and Upload Documentation
How To- Rescind an ECIP a Credit Notification
PY26 ECIP Guide
How To- Deny a Crisis Record
Checklist To Accept Online HEAP Applications
PY2026 HEAP Guide
LIHEAP Detailed Model Plan 10_01_2025
CH 24 - Home Energy Assistance Program Rule
How To - Opening Online Application For Applicant to Upload Documents
How To - Process Deceased Applicants
How To - Change Primary Applicant
Certifier Checklist

Notifications