2017 - 2018 Hardship Exemption Application: Fill out & sign online

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Click ‘Get Form’ to open the 2017 - 2018 Hardship Exemption Application in our editor.
Begin by filling in your personal information in Section 1. Include your name, home phone number, mailing address, and service address. Indicate whether you are a homeowner or renter.
In Section 2, answer the questions regarding any assistance you receive. Check 'Yes' or 'No' for each question and provide details as necessary.
Proceed to Section 3 to list all household members. Fill in their names, birth dates, relationship to you, sex, disability status, and types of income. Ensure accuracy as this information is crucial for eligibility.
In Section 4, sign and date the application to confirm that all provided information is true and complete. This step is essential for processing your application.
Review the criteria in Section 6 to ensure you meet at least two conditions for exemption eligibility before submitting your completed form along with required documents.

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