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Heap butte county 2012 form

Heap butte county 2012 form-2026

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The document is an Energy Intake Form from the Department of Community Services and Development, designed to collect information for determining eligibility for utility bill discounts and energy assistance programs. It includes sections for personal details, household income, and demographic information, as well as consent for sharing data with relevant agencies. The form outlines the purpose of the application, eligibility criteria, and rights of the applicant.

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Click ‘Get Form’ to open the heap butte county 2012 form in the editor.
Begin by entering your personal information in the designated fields, including your first name, middle initial, last name, and date of birth. Ensure accuracy as this information is crucial for eligibility verification.
Fill out your mailing address and service address. If they are the same, check the appropriate box to save time.
Provide your telephone number and Social Security Number (SSN) in the respective fields. This information is necessary for processing your application.
Indicate the total number of people living in your household and those who receive income. This helps determine eligibility for assistance.
Complete the income section by entering total gross monthly income from all sources. Be thorough to ensure accurate assessment.
Finally, review all entered information for accuracy before signing and dating the application at the bottom of the form.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (95 Votes)
2015	4.4 Satisfied (184 Votes)
2014	4.3 Satisfied (273 Votes)
2013	4 Satisfied (37 Votes)
2012	4 Satisfied (37 Votes)
2006	4.2 Satisfied (30 Votes)

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