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ODJFS Project Thaw 01/29/2001 PROJECT THAW APPLICATION Name Social Security Number Address Phone City Zip OHIO Including yourself list names ages social security numbers and monthly gross income for everyone in your household. Use separate sheet if necessary. Include income from work and unearned income such as Social Security Unemployment Compensation SSI etc* and provide verification* Age Date of Birth Monthly Gross Income Is anyone in the household a citizen of a country other than the United States 9 No If yes name s of individual s country of origin and citizenship status Is this individual a permanent U*S* resident Provide INS documentation 9 Yes If yes provide date of arrival in the U*S* 9 No If not does this individual have temporary U*S* resident status 9 No Service address for which Project Thaw assistance is sought if different from address above What is your main source of heat Fuel oil or Kerosene Natural Gas Coal or Wood Bottle Gas or Propane L*P. Gas Electric Company/Ene....

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232