LIHEAP Application
LIHEAP Application
NOTE: The AHA can only accept LIHEAP/USF applications from Monmouth County residents. Only original paper completed and signed applications can be accepted. Copied or faxed applications cannot be accepted.
Please provide copies of other supporting documents when you bring your application.
Eatontown: 59 Broad Street (Fax for supporting documents only 732-440-4765)
Neptune: 3535 Route 66, Parkway 100 Complex, Building 4 (Fax for supporting documents only 732-922-0726)
Freehold: 20 Gibson Place, Suite 200 (Fax for supporting documents only 732-414-6607)
Please Note: the AHA can only accept LIHEAP/USF applications from Monmouth County residents. If you do not live in Monmouth county, please visit the following website and select the LIHEAP/USF agency for your county
You may also apply at the designated LIHEAP agency in your county. View the list here.
If you have questions about the LIHEAP program or are in need of emergency assistance, please call 732-389-2204.
The LIHEAP/USF application can be found here: http://www.state.nj.us/dca/divisions/dhcr/forms/docs/heaappl.pdf.
The AHA can only accept LIHEAP/USF applications from Monmouth County residents. We cannot accept a copy of the LIHEAP/USF applications—all applications submitted must be the original filled out application.
