Ldss 3421-2026

1. Click ‘Get Form’ to open the ldss 3421 application in our platform's editor.
2. Begin by filling out your personal information in Section 1, including your first name, last name, and current address. Ensure you print clearly and use blue or black ink.
3. In Section 2, indicate your housing situation by checking the appropriate box that describes your living arrangement. If you are a renter, provide details about your monthly rent.
4. Proceed to Section 3 to provide heat and utility information. Specify if you pay separately for heat and list your main source of heating.
5. In Section 4, report all household income. Make sure to include gross monthly amounts before any deductions and attach necessary documentation as required.
6. Designate an authorized representative if needed in Section 5. This person can assist with your application process.
7. Finally, review all sections for completeness and accuracy before signing the application on page 5. Submit it through the appropriate channels as indicated in the instructions.

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