HEAP Application Kit - HRA

Human Resources Administration

Serving New Yorkers with Care & Compassion


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HEAP Cooling Assistance Component (CAC)

HEAP CAC stopped accepting applications on Friday, July 8, 2022. Mail-in applications postmarked on or before the CAC closing date meet the deadline and will be processed, but applications received after the CAC closing date will be denied.

Get the latest information on HEAP CAC here.

HEAP Application Kit

Applicant households may apply by completing the HEAP Regular Benefit Application (LDSS-3421).

The 2022-2023 Regular HEAP benefit opened on November 1, 2022.

myBenefits

Find out if you may be eligible and apply for programs and services.

If you are eligible, you may receive one regular HEAP benefit per program year to help you pay for heating your home.

More information can be found here: https://otda.ny.gov/programs/heap/#regular-benefit

Current HEAP Season's Application

HEAP Application (LDSS 3421)

HEAP 3-Month Self Employment Worksheet

HEAP 12 Month Method Self-Employment Income Tax Calculation Worksheet (LDSS-4997)

HEAP Documentation Requirements (LDSS 2642)

The forms will be opened in Adobe Reader.

If you do not have Adobe Reader, click this link to download it: Adobe Reader