The application should be completed by the person who has primary and direct responsibility for payment of the heating bill or the primary tenant if heat is included in the rent.

You must list your current address. This must be your permanent and primary residence.

Some applicants may be required to have an interview. You may choose to have a phone interview or to have an in person interview. Please indicate your interview preference in the box on page one. Completion of this section does not mean you will be required to have an interview. All applications for heating equipment repair or replacement must have an in person interview.

List everyone who lives in your house, even if they are not related to you or contributing financially to your household. You may be required to provide proof of identity for all household members.

New York State ensures your right to access State benefits and/or services regardless of sex, gender identity or expression. You must report your sex and the sex of all household members as male or female. The sex you report here must be the same as what is currently on file with the United States Social Security Administration. The sex you report is needed to process your application. It will not appear on any benefit card you may receive or any other public-facing document.

Gender identity is how you perceive yourself and what you call yourself. Your gender identity can be the same as or different from your sex assigned at birth. Gender identity is not required for this application. If your gender identity, or the gender identity of anyone in your household, is different than the sex you proport for that person and you would like to provide that person’s gender identity, select “Male”, “Female”, “Non-Binary”, “X”, “Transgender”, or “Different Identity”. If you select “Different Identity”, you may choose to describe that person’s gender identity further in the space provided.

In order to receive HEAP, you or member of the household must be a U.S. citizen, Qualified Alien, or U.S. non-citizen national. For additional information on what constitutes a Qualified Alien or U.S. non-citizen national, please contact the New York State Office of Temporary and Disability Assistance hotline at 1-800-342-3009 or visit the OTDA website at http://www.otda.ny.gov.

Click here to see if you meet the requirements of a qualified alien.

Social Security numbers are required for all household members. The information is validated with data from the Social Security Administration. This information may also be used to perform data matches with other state and federal agencies for the purposes of verifying your household’s HEAP eligibility.

List ALL income for all household members. All amounts should be entered as gross income prior to any deductions. Deductions include, but are not limited to: income taxes, child support, garnishments, health insurance, and union dues. You are required to submit documentation of all earned income, including self-employment and rental income. You may be required to provide proof of other income. Please see page 6 of the application instructions for specific types of acceptable documentation. Do not submit originals, they will not be returned. Eligibility will be based on your household’s gross monthly income for the month of application.

Please enter the amount of your Social Security before any deductions for Medicare. List separately the amounts that you pay for Medicare Part B and/or D. Amounts for Medicare Parts B and D are excluded as income.

Enter only the interest or dividend portions of bank accounts, CDs, stocks, bonds or other investment income. List each account separately. If you need more space, attach additional sheets. Enter the amount received for the year to date.

An authorized representative is a person who may act as your agent for HEAP purposes as listed on the application. Authorized representative status is for the current program only and you may revoke it at any time during the program by submitting a statement to your local Social Services District. Since this person may be providing information on your behalf, it should be someone who knows your circumstances.

If you have no heat, you should go to a DHS shelter. Click here for a list of intake shelters.

If you are approved and you pay for heat, your payment will be sent to your heating fuel vendor. Your eligibility notice will include the name of the vendor. If the vendor listed is not correct, notify the local Social Services District immediately. In some cases, your benefit will be paid to your electric company if heat is included in your rent. Your notice will tell you the amount of the benefit, how it will be paid, and how it was calculated.

Vendors are not permitted to make deliveries until payment is received or until instructed to do so by the local Social Services District. Benefits may not be applied to prior deliveries for deliverable fuel sources. If you are in need of fuel before your vendor has received notification or payment, you must contact your local Social Services District.

Regular HEAP benefits are intended to be a one-time supplement to your annual energy costs and are not intended to replace your personal payments. You must continue to pay your energy bills.

• You are out of fuel or have less than ¼ tank of oil, kerosene or propane, or less than a ten (10) day supply of other deliverable heating fuel.
• Your natural gas or electric heat has been shut off or is scheduled to be shut off.
• At this time, you are unable to apply for emergency HEAP online.

HEAP benefits can assist with the following emergencies:

• You are out of fuel or have less than ¼ tank of oil, kerosene or propane, or less than a ten (10) day supply of other deliverable heating fuel.
• Your natural gas or electric heat has been shut off or is scheduled to be shut off.
• Applicant owned heating equipment is not working.

If you have a heating emergency and have applied for, but have not received, your regular benefit, you should contact your local Social Services District after the program opens. Whenever possible, regular HEAP benefits are used first to resolve an energy emergency. At this time, you are unable to apply for emergency HEAP online.

DO NOT WAIT UNTIL YOU ARE OUT OF HEATING FUEL OR YOUR GAS/ELECTRIC SERVICE IS OFF TO REQUEST ASSISTANCE. IF YOUR UTILITY SERVICE IS TERMINATED, YOUR UTILITY COMPANY IS NOT REQUIRED TO RESTORE YOUR SERVICE EVEN IF YOU ARE ELIGIBLE FOR A HEAP BENEFIT.

You can apply for HEAP by mail, fax or in person. A copy of the current season’s application can be found here. If you need a copy mailed to you, or need additional help, please call Infoline: 718-557-1399.

• Return in person: Any HRA Benefits Access Center
• Fax to: 917-639-2900, or
• Mail to: 

  Home Energy Assistance Program/HEAP
  P.O. Box 1401
  Church Street Station
  New York, NY 10008

You can return documents for HEAP by mail, fax or in person.

• Return in person: Any HRA Benefits Access Center
• Fax to: 917-639-2900, or
• Mail to: 

  Home Energy Assistance Program/HEAP
  P.O. Box 1401
  Church Street Station
  New York, NY 10008