Get Cdbg Self Certification Form

Completing the CDBG Self Certification Form online is essential for determining eligibility for public services funded by federal Community Development Block Grant funds. This guide will provide you with clear and detailed instructions to ensure a successful submission.

Follow the steps to complete the form effectively.

1. Click 'Get Form' button to obtain the form and open it for editing.
2. Begin by indicating the number of persons in your household. Ensure accuracy to facilitate the income eligibility assessment.
3. Next, check the box that corresponds to your annual family income. Refer to the provided income range based on your household size, ensuring all sources of income are accounted for.
4. Select your ethnicity by picking one of the two options provided. This information is needed for demographic analysis.
5. Indicate your race by selecting one from the ten available choices. Accurate representation helps in ensuring equitable service delivery.
6. Answer the question regarding the female head of household by selecting 'Yes' or 'No'. This detail may impact your eligibility for certain programs.
7. Review the applicant statement, affirming the accuracy and completeness of the information provided. This statement acknowledges potential verification by relevant agencies.
8. Provide your contact information, including your phone number, name, address, and signature, along with the date of completion.
9. Finally, save changes to your form, and you will have the options to download, print, or share the form as needed.

Complete your CDBG Self Certification Form online today to ensure your eligibility for needed services.