Get Hcec Customer Assessment Form Very Important Please

The HCEC Customer Assessment Form is a crucial document that helps determine the assistance you may need. This guide provides a clear, step-by-step approach to ensure that you complete the form accurately and efficiently when filling it out online.

Follow the steps to successfully complete the assessment form.

1. Click the ‘Get Form’ button to access the form and open it for editing.
2. Begin by entering your personal information clearly in the designated fields. This includes your name, phone number, and email address.
3. Indicate whether you allow messages to be left at your provided phone number by marking 'Yes' or 'No' in the appropriate box.
4. Fill in your current residential address as well as any mailing address if it differs from your current address.
5. In the checklist provided, select all applicable options that describe your living situation, such as 'Family', 'Homeowner', 'Tenant', or 'At Risk of being homeless'.
6. Explain the purpose of your visit today by checking the appropriate box or boxes that apply to your needs.
7. Provide referral information by indicating who referred you or how you learned about the services offered.
8. Complete the income section by answering questions about your current financial situation and any assistance you may need.
9. If applicable, provide details regarding your household, including the number of adults and dependents, by answering the relevant questions.
10. Review your responses for accuracy and clarity, ensuring that all sections have been completed.
11. Once all fields are filled out, proceed to save your changes, and select options to download, print, or share the form as needed.

Start completing the HCEC Customer Assessment Form online to receive the support you need.