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Combined Community Action 165 West Austin . Giddings TX 78942 979.540.2980 . 800.688.9065 . Fax 979542.9565 www.ccaction.com Comprehensive Energy Assistance Program PreApplication Date: County: Name.

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How to fill out the CEAP Application - Combined Community Action online

This guide provides comprehensive instructions for filling out the CEAP Application - Combined Community Action online. By following the steps outlined below, you will be able to complete the application process effectively and ensure all necessary information is included.

Follow the steps to successfully complete the CEAP Application online.

  1. Press the ‘Get Form’ button to access the CEAP Application online and open it in your digital editor.
  2. Fill in the date and county at the top of the form to provide essential information regarding the application and location.
  3. Enter your name in the designated fields, ensuring you fill out both the first and last name sections.
  4. Provide your phone number. It is crucial to enter a number where you can be reached for any follow-up regarding your application.
  5. Complete your address, including house number, street name, apartment number (if applicable), city, and ZIP code.
  6. In the household composition section, list the Head of Household and all individuals residing in the home. For each person, specify their name, relationship to the Head of Household, race, sex, highest level of education, date of birth, and social security number.
  7. In the income information section, document the gross income for the 30 days prior to your application date for each household member. Include their source of income, such as employer's name or benefits received.
  8. Sign and date the certification statement at the bottom of the form, affirming that your provided information is true and correct to the best of your knowledge.
  9. Indicate whether you have a disconnection notice by selecting 'Yes' or 'No.'
  10. In the section describing your need for assistance, provide a detailed explanation of your current situation and the types of assistance you require.
  11. Once you have filled out all sections of the form, review your responses for accuracy and completeness.
  12. Save your changes, download the completed form, and prepare to print or share it as necessary.

Complete your CEAP Application online today to ensure timely assistance.

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