Get Self Declaration Of Income Form State Of Virginia-usda - Connect Hrfoodbank

Filling out the Self Declaration of Income Form for the State of Virginia can be a straightforward process when you know what to do. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the self declaration of income form.

1. Use the ‘Get Form’ button to access the self declaration of income form and open it for editing.
2. In Section A, agency volunteers should fill out the agency name, account number, agency representative name, and applicant's information like name, address, and contact details.
3. Indicate the number of children, adults, and seniors in the household. This information helps to assess household size.
4. In Section 15a, mark all applicable USDA eligibility qualifications for the household, such as Food Stamps/SNAP, TANF, or Medicaid.
5. Provide the household's combined income in Section 16a. Select one frequency of income (weekly, bi-weekly, monthly, or annual) and ensure it accurately reflects your earnings.
6. In Section B, the applicant must certify that they are the only person applying for assistance and that the income stated is correct. Sign and date the form accordingly.
7. If applicable, authorize an alternate person to pick up commodities by completing the authorized alternate section and signing where indicated.
8. After reviewing all entered information for accuracy, save changes to the form, and consider options to download, print, or share it as needed.

Complete your forms online today and gain access to the assistance you need.