Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to access the form and open it for editing.
2. Enter the date at the top of the form in the specified section.
3. Provide your name, ensuring it is complete and accurate.
4. Fill in your phone number in the designated field.
5. If applicable, include your tribal enrollment number.
6. Complete your address in the provided space.
7. Indicate your employment status by checking either 'Yes' or 'No.'
8. Enter your date of birth in the appropriate space.
9. Select the purpose of your request by checking the relevant boxes.
10. Ensure to gather any necessary verification documents, such as invoices or bills, to support your application.
11. Indicate whether you have contacted other agencies for assistance by checking 'Yes' or 'No.'
12. If you answered 'Yes,' provide the name of the person you contacted and the agency’s name.
13. Sign the application in the required section to confirm the information is accurate.
14. Fill in the date next to your signature.
15. Once completed, save your changes, and you can choose to download, print, or share the application as needed.

Complete your SD Big Coulee District Assistance Application online for timely assistance.