Wyoming LIEAP Web Application
2020-2021
Application
Document Upload
Form Links
Instructions
Rights and Responsibilities
Mobile
Electronic Signature Forms
LIEAP Application
Your application cannot be processed until you submit your electronic signature using the link(s) below.
Application Signatures
Authorized Rep Signatures
Fillable Electronic Forms
Self Declaration of Zero Income
Downloadable PDF Forms
These are forms you may need to complete your application to receive assistance.
Questions? Call us at 1-800-246-4221 for help.
Employer Statement
Work Registration Verification
Rental Verification
Statement of Incapacity
Self Declaration of Permanently Parked TRADITIONAL DWELLING
2021 © Copyright by Tromba Technologies, Inc.