Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • La Lacap 1a 2017

Get La Lacap 1a 2017

LACA 1A Rev. 12/17 09/15 Issue Obsolete OFFICE USE ONLY Date Received Assigned to Is an DEBT card needed? YesNoLouisiana Department of Children and Family Services Louisiana Combined Application Project Enrollment.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the LA LaCAP 1A online

Filling out the LA LaCAP 1A online can be a straightforward process when you understand each section of the form. This guide provides you with step-by-step instructions to help you complete the form accurately.

Follow the steps to fill out the LA LaCAP 1A online effectively.

  1. Click the ‘Get Form’ button to access the form and open it in your preferred online editor.
  2. In section 1, provide your first name, middle initial, and last name. Then enter your mailing address, including any apartment or lot number, city, state, and zip code. If your home address differs from your mailing address, fill in that information as well.
  3. Enter your social security number and date of birth, then indicate your parish of residence. You may skip the ethnic and racial information if you choose; it is optional.
  4. In section 3, select your sex by checking either the 'Male' or 'Female' box.
  5. Section 5 asks if you receive Supplemental Security Income (SSI). Respond with 'Yes' or 'No'.
  6. Section 6 includes a series of questions about your living situation. Answer whether you live alone and, if applicable, whether you prepare meals separately from others. Respond to questions about your spouse and any children under 22 living with you.
  7. Provide a daytime phone number and an email address, if available, to ensure you can be contacted for any follow-ups.
  8. Indicate whether you currently receive Supplemental Nutrition Program (SNAP) benefits and if you need a new Louisiana Purchase Card.
  9. Section 10 requires you to disclose your housing expenses. Answer whether you pay rent or any mortgage, and provide further details as specified.
  10. Continue answering questions related to utilities, heating, air conditioning, and any other housing expenses.
  11. In section 14, if you wish to appoint someone as your Authorized Representative, provide their contact information.
  12. Read the certification statement carefully. If you agree with the terms, provide your signature and date. If you sign with a mark, ensure you have two witnesses.
  13. If you are registering to vote, you may choose to do so in this section. Fill out the relevant information if you wish to apply for voter registration.
  14. Review all your provided information for accuracy. Once completed, save your changes, download, or print the form for your records.

Take the next step by filling out your LA LaCAP 1A online today!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

LaCAP Enrollment - DCFS
LaCAP 1A - Rev. ... Louisiana Combined Application Project ... For assistance in...
Learn more
[PDF] CASE NO. 13-30185 IN THE UNITED STATES COURT...
Apr 2, 2013 · right to receive a voter registration form “with each application . . ....
Learn more
National Fire Incident Reporting System Reference...
Example The fire occurred in Station 1A's first due area: E2 C Shifts and Alarms...
Learn more

Related links form

Tenetsompo Form Great Eastern Giro Form Termination Form Eldershield WICA Claim Form - First Capital Insurance Ltd

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get LA LaCAP 1A
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Form Packages
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
Form Categories
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
Customer Service
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
Legal Guides
  • Real Estate Handbook
  • All Guides
Prepared for you
  • Notarize
  • Incorporation services
Our Customers
  • For Consumers
  • For Small Business
  • For Attorneys
Our Sites
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program
LA LaCAP 1A
This form is available in several versions.
Select the version you need from the drop-down list below.
2020 Lacap Enrollment Form 1a
Select form
  • 2020 Lacap Enrollment Form 1a
  • 2019 LA LaCAP 1A
  • 2017 LA LaCAP 1A
Select form