STATEMENT OF UNDERSTANDING: I understand that the information, which I have provided on this form, will be used to determine my eligibility for assistance towards my water bill. I understand that the Pueblo of Zuni, Low Income Household Water Assistance Program (LIHWAP) may require proof of any information provided in this application or subsequently reported to the Pueblo of Zuni LIHWAP, I am aware that failure to provide required proof may result in delay and/or denial of assistance.
*I understand that I have a right to appeal if my application is denied or if I am found ineligible for assistance. I understand that I have ten (10) working days upon receipt of denial to request a hearing or review. I understand that I would need to submit a written notification to request a hearing or review with the Program Director. Appeals should be send to:
Zuni Education & Career Development Center
Bernadette Panteah, Dept. Of Education Division Director
PO Box 339
Zuni, NM 87327