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Combined community action application 2026
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- Click ‘Get Form’ to open the combined community action application in the editor.
- Begin by entering the date at the top of the form. Next, specify your county for accurate processing.
- Fill in your name, ensuring to include both first and last names. Provide a contact phone number where you can be reached.
- Complete your address details, including house number, street, apartment number (if applicable), city, and zip code.
- In the 'HOUSEHOLD COMPOSITION & CHARACTERISTICS' section, list all household members along with their relationship to you. Include details such as race, sex, highest level of education, date of birth, and social security number for each member.
- For 'INCOME INFORMATION', document each household member's gross income from the past 30 days and specify the source of that income.
- Sign and date the application at the bottom to certify that all information is true and correct.
- Indicate whether you have a disconnection notice by checking 'Yes' or 'No'.
- In the 'DESCRIBE NEED FOR ASSISTANCE' section, provide a detailed explanation of your current needs for assistance.
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