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Click ‘Get Form’ to open it in the editor.
Begin by filling in the 'Head of Household' section. Enter your full name, address (including apartment number), city, state, zip code, and telephone number. Ensure accuracy as this information is crucial for processing.
In the 'Household Members' section, list all family members who will be living with you. For each member, provide their name, relationship to you, date of birth, gender, race, and whether they are a full-time student.
Next, move to the 'Income' section. Here you will need to provide your gross monthly income from various sources such as employment, social security, and child support. Fill in the amounts accurately.
Answer the questions regarding accommodations for disabilities and any criminal history for you or your family members. This information is essential for eligibility assessment.
Finally, initial the 'Statement of Verification' to confirm that all provided information is correct before clicking on the 'Submit Form' button at the end.
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