[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-307740-105":53,"doc-detail-307740-en":126},{"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":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","fap-form-1-landlord-verification","FAP Form 1 - Landlord Verification","","FAP Form #1 is a Southern NH Services/Rockingham Community Action landlord verification document for the Fuel Assistance Program (FAP) and related electric assistance. It requires the landlord or manager to complete and sign tenant, rent, occupancy, household composition, utilities inclusion, and primary/secondary fuel type details. The form explains when heat included in rent leads to heating vouchers (up to $315 monthly), when credits apply to the tenant’s fuel vendor, and key W-9 and payment eligibility requirements.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/fap-form-1-landlord-verification/307740/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/fap-form-1-landlord-verification/307740.png","ImageObject",442,249,{"name":88,"@type":89},"Stanley","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-24","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":8},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"Who must complete and sign the Landlord Verification Form?","Question",{"text":108,"@type":109},"The landlord or manager must complete and sign the form.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What happens if heat is included in the tenant’s rent?",{"text":113,"@type":109},"If approved and heat is included, heating voucher payments are issued to the owner section’s name and address, subject to program limits.",{"name":115,"@type":106,"acceptedAnswer":116},"Is a credit issued when heat is not included in rent?",{"text":117,"@type":109},"Yes. If approved and heat is not included in rent, a credit is issued to the tenant’s fuel vendor.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},307740,1790236714,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":8,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":9},2336477405376,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","FAP FORM \\# 1  \nSouthern NH Services/Rockingham Community Action  \nLANDLORD VERIFICATION  \nTO LANDLORD: Please read the following and complete the reverse side.  \nYour tenant is applying for the Fuel Assistance Program (FAP) . In order to assist us in determining his/her eligibility, we must have accurate information. It is mandatory that all renters with heat included have a Landlord Verification Form completed by the landlord. They cannot get a benefit without this form.  \nPlease make sure all information requested is completed and correct on this form.  \n• If this household is found to be eligible and heat is not included in rent, a credit will be issued to the tenant’s fuel vendor.  \n• If heat is included in rent and the rent is not subsidized, FAP will provide assistance in the form of heating voucher(s) . The heating voucher will be issued in amounts of no more than $315 each month. This may be repeated for a specific number of month(s) until the full benefit amount has been spent. If your tenant’s rent is overdue, please fill in the amount past due on the reverse side. If your tenant pays by the week, make sure to calculate what will be owed for that week plus the remainder of the month. We do not pay by the week.  \n• Checks will be issued within 20 working days of receipt of signed vouchers.  \nAny landlord who qualifies to receive payment from the Fuel Assistance Program must have a W-9 on file. This must be accompanied with a photocopy of owner's Social Security number or Federal ID number for verification purposes. Corporations, Partnerships or Trusts, must submit either stationery which has the Federal Identification number imprinted on the letterhead or a copy of the IRS label/tax form with the completed W-9.  \nThe Fuel Assistance Program can pay heating vouchers from Dec 1, 2022 but only when the heat is included in the rent, and only after the beginning of the program in December 2022. Heating Voucher payments cannot be applied to security deposits or to application fees. Failure to comply with these rules will prohibit you, the  \nlandlord, from participating in the program.  \nIt is the applicant’s responsibility to bring or FAX the completed form back to us at the area office that is indicated below where he/she applied for assistance.  \nYou may mail, fax, or email this form to my attention:  \nAttn:   Telephone (603)   Ext .   \nAddress:  \nEmail:  \nFax:  \nCASE \\#  Attn:    \nSouthern NH Services/Rockingham Community Action  \nFUEL ASSISTANCE /ELECTRIC ASSISTANCE PROGRAM  \nLandlord Verification Form  \nThis form must be completed and signed by the Landlord or Manager  \nOWNER’S NAME:    \nPLEASE PRINT  \nADDRESS:   CITY:   STATE   ZIP   TEL  OWNER’S EMAIL:   MANAGER’S NAME:   TEL   \nTENANT'S NAME:   ADDRESS:   APT \\#   \nCITY:   STATE   ZIP TEL   \n\\# OF ADULTS (18+):   \\# OF CHILDREN (Under 18):   Date of Occupancy:    \nPlease list the name of everyone living in the household:  \n1   2   3  4   5   6   \nRental amount per month: $   If PAST DUE: Month  Amount $   \nPlease note that City Welfare or Town Rental Assistance is not a subsidized program.  \nIs the tenant responsible for the FULL amount of the rent?   YES   NO  \nIf not, Agency Paying   Tenant portion of the basic rent $   \nPlease circle the appropriate answers:  \nUtilities included in rent: Heat Electricity None  \nPRIMARY fuel type: Natural Gas Electricity Oil Propane (LPG) Kerosene Wood  \nSECONDARY fuel type: Natural Gas Electricity Oil Propane (LPG) Kerosene Wood None  \nTotal number of rooms:    DO NOT COUNT bathrooms and hallways.  \nHOUSING TYPE: SINGLE HOUSE DUPLEX MULTI-FAMILY (3+ Apts.) MOBILE HOME ROOM  \nIs the fuel tank shared with other units? Yes  No   \nIT IS MANDATORY THAT ALL RENTERS WITH HEAT INCLUDED IN RENT HAVE THIS FORM COMPLETED!  \n• If a benefit is approved and HEAT IS INCLUDED IN THE RENT, payments will be made payable and sent to the NAME AND ADDRESS LISTED ABOVE IN THE OWNER SECTION.  \n• If a benefit is approved and HEAT IS NOT INCLUDED IN REN","cbCaiqSASqT1meMq","https://ap.wps.com/l/cbCaiqSASqT1meMq","pdf",210629,"English","# Landlord Instructions\n# Landlord Verification Details\n## Owner and Manager Information\n## Tenant and Rental Information\n## Household and Rent Past Due\n## Utilities and Fuel Type\n# Certification and Signature","[{\"question\":\"Who must complete and sign the Landlord Verification Form?\",\"answer\":\"The landlord or manager must complete and sign the form.\"},{\"question\":\"What happens if heat is included in the tenant’s rent?\",\"answer\":\"If approved and heat is included, heating voucher payments are issued to the owner section’s name and address, subject to program limits.\"},{\"question\":\"Is a credit issued when heat is not included in rent?\",\"answer\":\"Yes. If approved and heat is not included in rent, a credit is issued to the tenant’s fuel vendor.\"}]","FAP Form 1 - Landlord Verification | PDF",1789854202]