Home 2025 Downloadable Resources
2025 Downloadable Resources
Click on each of the titles to view the list of downloadable resources.
- HEAP Flyer (283KB)
- Scenario 1 (5.45MB)
- Scenario 2 (74KB)
- Scenario 3 (669KB)
- New York State HEAP Administrative Form Guide (137KB)
- Documentation Requirements (LDSS 2642) (178KB)
- HEAP Application (LDSS 3421) (635KB)
- HEAP Notice Of Eligibility Decision Approval (LDSS 3494A) (48KB)
- HEAP Notice of Eligibility Decision Denial (LDSS 3494B) (130KB)
- HEAP Emergency Benefit Budget Worksheet (LDSS 3594B) (131KB)
- HEAP 3 Month Method Self Employment Worksheet (LDSS 3785) (144KB)
- HEAP Cooling Assistance Request for Benefit (LDSS 4992) (65KB)
- HEAP 12 Month Method Self Employment Income Tax Calculation Worksheet (LDSS 4997) (231KB)
- HEAP Qualified Non Citizen (LDSS 4998) (32KB)
- HEAP Guarantee of Payment Letter (LDSS 5000) (57KB)
- HEAP 3 Month Method Rental Income Calculation Worksheet (LDSS 5001) (168KB)
- HEAP Desk Guide (LDSS 5005) (131KB)
- HEAP Vendor Refund Form (LDSS 5043) (72KB)
- HEAP Cooling Assistance Services Invoice (LDSS 5044) (80KB)
- HEAP Systems Quick Reference Tool LDSS 5099 (93KB)
- Keep the Heat On With HEAP Brochure (PUB 4735) (227KB)
- Keep the Heat On With HEAP Poster (PUB 5007) (163KB)
- Beat the heat with HEAP! (EnglishSpanish) (PUB 5182) (603KB)
- Request for Documents or Publications (OTDA 876) (Rev 2 22) (190KB)
- LDSS 5199 Request for Local Equivalent (146KB)
- Vendor Agreement Non Utility (298KB)
- Vendor Agreement Cooling (264KB)
- HEAP Utility Vendor Agreement fillable (469KB)
- HEAP Muni Esco Vendor Agreement FINAL 10 05 07 (25KB)
- Check Inquiry Form (147KB)
- 2024 2025 HEAP Denied Applicant Report fillable (111KB)
- HEAP District Responsibilities (114KB)
- HEAP E Reports (130KB)
- HEAP Information Request Form Fillable (715KB)
- HEAP Outreach Plan Fillable (113KB)
- DHCR WAP Number 37 form (183KB)
- Alternate Certifier (102KB)
- HEAP CNS District Contact Information (450KB)
- HEAP Monitoring (86KB)
- 2024 2025 Common Audit Findings (88KB)
- Subscription Instructions (192KB)
- Subscription Links (189KB)
- Where to Find Important HEAP Items (141KB)
- WMS and myWorkspace HEAP FAQ (108KB)
- OTDA Fiscal Contacts (117KB)
- HEAP Staff County Liaisons 7.2025 (118KB)
- HEAP County Coordinator Contacts revised 8 27 2025 (366KB)