Get Attachment D 2012 Self Cert Form - City Of Los Angeles, Community ... - Cdd Lacity

Filling out the Attachment D 2012 Self Cert Form is an important step for individuals seeking eligibility for public services funded by the City of Los Angeles. This guide will walk you through the process of completing the form online, ensuring that you provide accurate and necessary information.

Follow the steps to complete the form accurately.

1. Begin by clicking the ‘Get Form’ button to access the document and open it for editing.
2. Next, fill in the number of persons in your family. This information is crucial for determining your eligibility.
3. Indicate your total annual family income by placing a check mark in the appropriate box according to your family size. Refer to the income guidelines to ensure accurate reporting.
4. If applicable, check the box next to any presumed low- and moderate-income categories that apply to you or a family member.
5. Select your race by checking one of the provided options. This is required for compliance with federal reporting standards.
6. Indicate your ethnicity by selecting either 'Hispanic/Latino' or 'Not Hispanic/Latino.'
7. Finally, certify that all information provided is accurate. Sign and date the form. If you are a minor, a parent or guardian must sign on your behalf. Fill in the address and detail the agency staff who facilitated the application.

Complete the Attachment D 2012 Self Cert Form online to ensure your eligibility for services.