Are You a Water/Sewer PROVIDER or LOCAL MUNICIPALITY Interested in Participating in LIHWAP?

Information for Water/Sewer Providers ONLY: 

For CACS to make payments to your company on behalf of any of your customers applying for LIHWAP assistance, you will need to:

1. Submit a fully completed MOU (template attached)

• https://cacs-inc.org/wp-content/uploads/2022/01/LIHWAP-Template-MOU-3-parties.docx
  
  • Fill in your Entity Name with Primary Contact Information on Page 1
  • Complete one of the signature blocks at the bottom of Page 1, and sign it
  • Fill in your Entity Name in each of the highlighted/underlined blanks on Pages 2, 4, 5, 6, 7, 8

2. Submit a completed W-9 (blank form attached)

• • If you believe CACS has a W-9 already on file for your organization, please feel free to check with us before filling and submitting another
  • https://cacs-inc.org/wp-content/uploads/2022/01/2018-Form-W-9.pdf

3. Register with the MDHHS in SIGMA Vendor Self Service (VSS) to receive LIHWAP SER payments, if not a currently registered vendor:

• • https://sigma.michigan.gov/webapp/PRDVSS2X1/AltSelfService

You may return the completed MOU and W-9 either of the following ways:

Email:  CO-Admin@cacs-inc.org

Regular Mail or In Person:  Attention – LIHWAP/Pam Elise

Capital Area Community Services, Inc.                              

1301 Rensen Street

Lansing, MI 48906