Documents Upload LIHEAP – Navajo Nation

FAU Agency(Required)

Select the same FAU Agency as on your LIHEAP Application (Required)

Date(Required)

Name (same as on you LIHEAP Application)(Required)

First Middle Last Suffix

Census #

Phone(Required)

Email(Required)

Document(s) you have ALREADY uploaded with your LIHEAP Application(Required)

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Document(s) You are Uploading(Required)

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Valid State Issued Driver’s License/ID – (Applicant)

Social Security Card – (All Household Members; names must match LIHEAP Application)

Certificate of Indian Blood – (All Household Members)

Income Verification, including assistance from TANF, General Assistance, Social Security, SNAP/Food Stamps, etc. – (All Household Members)

Proof of Residency – Chapter Verification (Applicant)

Weatherization Only – Need three (3) current quotes from vendors

If your name has changed, a marriage license or divorce certificate is required – (Applicant)

Current W-9 Form – (Applicant) only needed if you did not submit one online with your LIHEAP Application

Other

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Upload Files(Required)

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Max. file size: 40 MB, Max. files: 30.

Optional notes for Case Worker?

Documents Upload for the LIHEAP Application