Get Va 032-03-0651-13 2022-2025

The VA 032-03-0651-13 form is an important document used for applying for crisis assistance in the Commonwealth of Virginia. This guide will provide you with detailed, step-by-step instructions on how to complete this form effectively online.

Follow the steps to complete the VA 032-03-0651-13 online.

1. Press the ‘Get Form’ button to access the VA 032-03-0651-13 form and open it in the editor.
2. In the first section, enter your name, city or county of residence, physical/service address, and mailing address if different. Additionally, provide your home, cell, and work telephone numbers, email address, and the primary language spoken at home.
3. Specify the best way for your worker to contact you by checking one of the options provided (home phone, cell phone, work phone, or email). Follow this by choosing your preferred method of correspondence, indicating whether you prefer text or email notifications.
4. In Part II, indicate your crisis need by checking all applicable options such as heating equipment repair, purchase of heating equipment, or emergency shelter. If you are currently facing an energy emergency, provide the type of emergency and associated details.
5. Select your current living situation by checking only one box that best describes your circumstances. This will help assess your eligibility for assistance.
6. List all individuals living in your home, including their names, relationship to you, Social Security numbers, gender, date of birth, race, and whether they are working. Also, include the gross monthly income for each person.
7. Answer additional questions about citizenship, disability status, and participation in SNAP or Medicaid. Provide details about any family members temporarily out of the home.
8. Sign the applicant's certification section to confirm the accuracy of your responses and understand your responsibilities. Ensure you provide your date, or mark if applicable, and information about any witnesses or interpreters if needed.
9. Finally, review the completed form for accuracy. You can save your changes, download the completed form, print it, or share it as required.

Complete your VA 032-03-0651-13 form online to access the necessary assistance.