Get Client Application - Pinellas County - Pinellascounty

Filling out the Client Application for the Family Homelessness Prevention Program is an important step in securing assistance. This guide will provide clear, step-by-step instructions on how to accurately complete the application online.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin filling out Section 1: Technical Eligibility. Provide the head of household's name, social security number, birth date, and gender. Indicate if they identify as Hispanic or Latino and circle the appropriate race.
3. Enter the current address, mailing address (if different), home phone, and cell phone numbers. Additionally, provide an email address for communication purposes.
4. List household members in the participant housing unit. Include their legal names, relationship to the head of household, social security numbers, birth dates, birthplace, gender, and whether they are veterans.
5. Proceed to Section 2: Income Eligibility. Answer whether any household member expects to receive income from sources such as employment, self-employment, or government benefits within the next 12 months. Specify names for each applicable income source.
6. Answer questions regarding capital investments, property ownership, and recent asset transfers. Provide details where required.
7. Review the FHP receipt of application and applicant certification section. Read the declarations carefully, ensuring understanding of assistance eligibility, cooperation requirements, and follow-up participation.
8. Sign and date the application to certify the truthfulness of the information provided.
9. Once completed, save changes, and ensure you have the option to download, print, or share the form as needed.

Complete your application online today to access vital assistance.