Get Intake / Assessment / Emergency Funds - Green Hills Community ... - Ghcaa

This guide provides step-by-step instructions on completing the Intake / Assessment / Emergency Funds form for the Green Hills Community Action Agency. Following these instructions will ensure that you accurately provide the necessary information for your application.

Follow the steps to complete your application online.

1. Press the ‘Get Form’ button to access the Intake / Assessment / Emergency Funds form and open it in the editor.
2. Begin by filling in your physical address, mailing address (if different), and contact numbers. Ensure all fields are completed accurately for effective communication.
3. Provide detailed information about each household member, including their name, social security number, date of birth, gender, relationship to you, marital status, race, health insurance type, veteran status, and highest education level completed.
4. List all income sources for every household member. Include wages, self-employment, social security, and any other income, specifying the amount and how often it is received.
5. Answer the emergency assistance questions by circling the options that apply to your situation. Include details in the provided space if 'other' is selected.
6. Complete the detailed questions regarding your family’s financial situation, including information about credit debts, past due bills, and any challenges you face in managing your finances.
7. Fill out the employment and education sections regarding household members. Indicate their employment status and arrange for answers to highlight any barriers they may face.
8. Provide signatures where indicated. Ensure the head of household and staff signature fields are accurately completed.
9. Once all sections are filled out completely, review your form for accuracy. Save your changes, and you may download, print, or share your form as needed.

Complete your documentation online to ensure timely assistance and proper processing of your application.