Guernsey County Prevention Retention and Contingency Program PRC Application 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the designated fields, including your name, case number, current address, and telephone number.
3. Answer the residency and citizenship questions by selecting 'Yes' or 'No' for each option provided.
4. Indicate if anyone in your household is a fugitive felon or a probation/parole violator.
5. If applicable, choose whether you would like to register to vote today.
6. List the services or items you are requesting assistance with, along with their costs. Ensure to provide detailed descriptions for clarity.
7. Document any personal and community resources you have contacted for assistance in the provided space.
8. Complete the household income section by listing everyone living in your home, their relationship to you, birthdates, Social Security numbers, sources of income, and gross monthly income from the past 30 days.
9. If applicable, provide details about any minor children not listed above.
10. Finally, review your application for accuracy before signing and dating it at the bottom of the form.

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