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Click ‘Get Form’ to open the dfa form 768 in the editor.
Begin by entering your name, physical address, mailing address, case number, and telephone number in the designated fields.
In the meal arrangement section, list everyone who lives with you. For each person, provide their name, relationship to you, and telephone number. Indicate if their name is on the shelter’s lease and whether they buy their own food.
For the shelter arrangement section, answer whether your name is on the lease. If yes, complete BFA Form 775 or attach a copy of the lease.
Specify your portion of rent and indicate how often it is paid (monthly, bi-weekly, or weekly).
Answer questions regarding responsibility for heating costs, telephone costs, and electricity costs separately from rent.
If applicable, indicate if you received fuel assistance in the past 12 months and provide a copy of the approval letter if necessary.
Finally, sign and date the form before submitting it to the Centralized Scanning Unit.
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