Affidavit of homeless status for fee exempt 2026

1. Click ‘Get Form’ to open the affidavit of homeless status for fee exempt in the editor.
2. In Section I, enter your printed name as the requestor. Indicate whether you are a homeless person or if you are requesting on behalf of a homeless child or youth by checking the appropriate box.
3. Provide the printed name of the homeless child or youth if applicable, and sign and date the form to affirm your status.
4. Move to Section II, where a homeless services provider will complete their section. They should fill in their entity name, address, phone number, and email.
5. The provider must print their name, confirm the homelessness status of the individual listed, and sign and date this section to validate the affidavit.

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