Get Ar Dco 9495 2010

Filling out the AR DCO 9495 online is a crucial step to apply for energy assistance. This guide will provide you with clear instructions to navigate through each section of the form efficiently.

Follow the steps to successfully complete your application.

1. Press the ‘Get Form’ button to access the form and open it in the online editor.
2. Begin with Section 1: Applicant Information. Fill in your name, Social Security number, mailing address, and county of residence. Ensure all fields are populated accurately.
3. In Section 2: Resources, indicate whether any household members have cash, bank accounts, or other resources by marking 'Y' for yes or 'N' for no. Provide the respective amounts and locations.
4. Proceed to Section 3: Income. List all income received by household members last month, specifying employment sources and how often each income is received.
5. Section 4: Home Energy Situation requires you to select the type of assistance you are applying for (regular or crisis) and detail your current energy situation.
6. Fill out Section 5: Housing and Home Energy Information. Answer all questions concerning your housing status, landlord information, and fuel types used in your home.
7. In Section 6: Home Energy Supplier Information, provide the name and account number of your energy supplier, including their address.
8. Complete Section 7: Weatherization Services by indicating if your home has been weatherized and if you wish to be referred for weatherization services.
9. Section 8: Household Members requires listing all people living in your household along with their relationships to you, dates of birth, and Social Security numbers.
10. Finally, read and sign Section 9: Applicants Rights and Responsibilities. Ensure all required signatures are collected before proceeding.
11. After filling out all sections, you can save changes, download, print, or share the form as needed to complete your submission.

Complete your application online today to access essential energy assistance.