Landlord Declaration Form: Heating Assistance Rebate Program
If you’re applying for a rebate through the Heating Assistance Rebate Program, you may need to submit the Landlord Declaration Form if you rent and pay for your own electric heat.
Use the Landlord Declaration Form if you rent and pay for your own heat. You only need to submit the form as part of the Heating Assistance Rebate Program application process if the program contacts you to complete it. The electric heat cannot be included in your rent.
Before you start
Make sure your landlord or superintendent is available to sign the form.