[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-305482-105":53,"doc-detail-305482-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","application-for-the-florida-low-income-household-water-assistance-program-lihwap-application-form-please-fill-out-completely","APPLICATION FOR THE FLORIDA LOW-INCOME HOUSEHOLD WATER ASSISTANCE PROGRAM (LIHWAP) - Application Form - Please fill out completely","","Application form for the Florida Low-Income Household Water Assistance Program (LIHWAP). 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If eligible, a credit will be sent directly to the utility vendor, but you must continue paying the amount owed on your bill.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Which details are requested for the head of household?",{"text":114,"@type":110},"The form asks for name, date of birth, sex, Social Security number, home address, mailing address (if different), county, phone number, citizenship/race/ethnicity codes, disability status, and whether disability benefits can be used.",{"name":116,"@type":107,"acceptedAnswer":117},"How should household income be reported?",{"text":118,"@type":110},"Income must be reported for all household people, before taxes and deductions, including the type/source of income and the amount for each month.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},305482,1791320883,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":76},18829141979164,"https://eur-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","APPLICATION FOR THE FLORIDA  \nLOW‐INCOME HOUSEHOLD WATER ASSISTANCE PROGRAM (LIHWAP)  \nPLEASE FILL OUT APPLICATION COMPLETELY : Your LIHWAP application is not a commitment that your bill will be paid. If eligible, a credit will be sent directly to the utility vendor. However, you must continue to pay the amount owed on your bill.  \n1 Please complete this section for the head of household. *Use the codes from question 2 to help provide the details.  \n\n| Name (Include Last, First Middle Initial) |  |  | Date of Birth (MM/DD/YY) |  |  | Sex (M/F) | Social Security Number |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n| Home Address (Include Street, Apt. Number, City, State & ZIP Code+4) |  |  |  |  |  |  |  |\n| Mailing Address if different (Include Street, Apt. Number, City, State & ZIP Code+4) |  |  |  |  |  |  |  |\n| County You Live In | Phone Number:( ) | Citizenship* |  |  | Race* | Ethnicity* |  |\n| Are you Disabled? ☐ Yes ☐ No |  |  |  | Do you receive Disability? ☐ Yes ☐ No |  |  |  |\n| If you are currently receiving Cash, Medical Assistance, or SNAP benefits, may we use the income you have on file? ☐ Yes ☐ No |  |  |  |  |  |  |  |\n\n2 List the people who live with you at this address. Include all children and adults. Include related roomers.  \n\n| Use the codes below to help provide the details for each individual in your household.\u003Cbr>CITIZENSHIP* : (1) U.S. Citizen/Nationalized,(2) Not U.S. Citizen/Alien lawfully admitted for permanent residence,(3) Cuban\u003Cbr>Entrant,(4) Lawfully Admitted Alien/Refugee,(5) Haitian Entrant,(6) Others.\u003Cbr>RACE* : (1)American Indian/Alaskan Native, (2) American Indian/Alaskan Native & Black/African American,\u003Cbr>(3)American Indian/Alaskan Native & White, (4) Asian, (5) Asian & White, (6) Black/African American,(7) Black/African American & White,(8) Native Hawaiian/Pacific Islander,(9) Other Multi-Racial,(10) White,\u003Cbr>(11) Decline to Report.\u003Cbr>ETHNICITY* : (1) non-Hispanic,(2) Hispanic |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Name\u003Cbr>(Include Last, First, Middle Initial) | Birthdate\u003Cbr>(MM/DD/YY) | Sex\u003Cbr>M/F | Social Security\u003Cbr>Number |  | Citizenship* | Race* | Ethnicity* | Relationship to You |\n|  |  |  |  |  |  |  |  |  |\n| Are you Disabled? ☐ Yes ☐ No |  |  |  | Do you receive Disability? ☐ Yes ☐ No |  |  |  |  |\n| If this person is currently receiving Cash, Medical Assistance, or SNAP benefits, may we use the income we have on file for this person? ☐ Yes ☐ No |  |  |  |  |  |  |  |  |\n\n\n| Name\u003Cbr>(Include Last, First, Middle Initial) | Birthdate\u003Cbr>(MM/DD/YY) | Sex\u003Cbr>M/F | Social Security\u003Cbr>Number |  | Citizenship* | Race* | Ethnicity* | Relationship to You |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |  |  |\n| Are you Disabled? ☐ Yes ☐ No |  |  |  | Do you receive Disability? ☐ Yes ☐ No |  |  |  |  |\n| If this person is currently receiving Cash, Medical Assistance, or SNAP benefits, may we use the income we have on file for this person? ☐ Yes ☐ No |  |  |  |  |  |  |  |  |\n\n\n| Name\u003Cbr>(Include Last, First, Middle Initial) | Birthdate\u003Cbr>(MM/DD/YY) | Sex\u003Cbr>M/F | Social Security\u003Cbr>Number |  | Citizenship* | Race* | Ethnicity* | Relationship to You |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |  |  |\n| Are you Disabled? ☐ Yes ☐ No |  |  |  | Do you receive Disability? ☐ Yes ☐ No |  |  |  |  |\n| If this person is currently receiving Cash, Medical Assistance, or SNAP benefits, may we use the income we have on file for this person? ☐ Yes ☐ No |  |  |  |  |  |  |  |  |\n\n\n| Name\u003Cbr>(Include Last, First, Middle Initial) | Birthdate\u003Cbr>(MM/DD/YY) | Sex\u003Cbr>M/F | Social Security\u003Cbr>Number |  | Citizenship* | Race* | Ethnicity* | Relationship to You |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |  |  |\n| Are you Disabled? ☐ Yes ☐ No |  |  |  | Do you receive Disability? ☐ Yes ☐ No |  |  |  |  |\n| If this person is currently receiving Cash, Medica","cbCaiuQOgiJnfRWW","https://ap.wps.com/l/cbCaiuQOgiJnfRWW","pdf",795063,7,"English","# Head of Household Information\n## Household Member List Using Provided Codes\n# Income Information","[{\"question\":\"What does the LIHWAP application require you to do regarding the bill?\",\"answer\":\"Filling out the application is not a commitment that your bill will be paid. If eligible, a credit will be sent directly to the utility vendor, but you must continue paying the amount owed on your bill.\"},{\"question\":\"Which details are requested for the head of household?\",\"answer\":\"The form asks for name, date of birth, sex, Social Security number, home address, mailing address (if different), county, phone number, citizenship/race/ethnicity codes, disability status, and whether disability benefits can be used.\"},{\"question\":\"How should household income be reported?\",\"answer\":\"Income must be reported for all household people, before taxes and deductions, including the type/source of income and the amount for each month.\"}]","APPLICATION FOR THE FLORIDA LOW-INCOME HOUSEHOLD WATER ASSISTANCE PROGRAM (LIHWAP) - Application Form - Please fill out completely | PDF",1789825281]