Combined community action application 2026

1. Click ‘Get Form’ to open the combined community action application in the editor.
2. Begin by entering the date at the top of the form. Next, specify your county for accurate processing.
3. Fill in your name, ensuring to include both first and last names. Provide a contact phone number where you can be reached.
4. Complete your address details, including house number, street, apartment number (if applicable), city, and zip code.
5. 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.
6. For 'INCOME INFORMATION', document each household member's gross income from the past 30 days and specify the source of that income.
7. Sign and date the application at the bottom to certify that all information is true and correct.
8. Indicate whether you have a disconnection notice by checking 'Yes' or 'No'.
9. In the 'DESCRIBE NEED FOR ASSISTANCE' section, provide a detailed explanation of your current needs for assistance.

Start filling out your combined community action application today using our platform for free!