Follow the steps to successfully complete your application online.

1. Press the ‘Get Form’ button to access the form and open it in your chosen editor.
2. Begin by entering your last name, first name, birth date, and social security number in the appropriate fields.
3. If applicable, provide your maiden name or alias.
4. Indicate your residency status by selecting 'Yes' or 'No' on whether you are a Harwich resident.
5. Fill in your contact information, including your home and cell phone numbers.
6. Complete your mailing address, only if it differs from your home address.
7. If you have moved recently, provide your previous address.
8. Enter your email address in the given field.
9. Answer the questions by circling 'Yes' or 'No' for your eligibility regarding various assistance programs.
10. If you are receiving assistance from listed agencies, include the details of the type of assistance and duration received.
11. Provide your current income sources and attach the required documentation, such as four consecutive pay stubs or a copy of last year’s tax returns.
12. Write and attach a letter addressed to the Harwich Town Selectman describing your circumstances and how the fund would aid you.
13. Acknowledge your understanding of the Caleb Chase Fund's terms, signing and dating the application as required.

Complete your application online today to access the assistance you need.