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Get Va 032-03-0651-13 2017-2025
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How to fill out the VA 032-03-0651-13 online
The VA 032-03-0651-13 form is essential for applying for crisis assistance in the Commonwealth of Virginia. This guide provides clear, step-by-step instructions to help users navigate the process of completing this form online with ease.
Follow the steps to successfully complete the form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering your locality and case number in the designated fields at the top of the form. This information helps the agency track your application.
- Fill in the date your application is received. This ensures proper record-keeping and processing of your application.
- Provide all necessary personal details including your name, physical address, and preferred contact method. Be sure to circle your preferred method of communication.
- In Part II, specify your crisis need by checking all applicable options, such as heating equipment repair or emergency shelter.
- Indicate your current living situation by circling the letter that best describes it. This is essential for determining eligibility.
- Record the number of people living in your household and indicate if anyone is temporarily out of the home, providing their expected return date.
- List everyone living in your home, including their social security numbers, genders, and any income sources.
- Address questions regarding citizenship status, disabilities within the household, and types of household income. Provide accurate responses to all questions.
- Complete the information on your heating equipment, including whether it is functional and the type of fuel used. This section is vital for assessing your need for assistance.
- If applicable, provide details about your electric service company and any balances due that could lead to service disconnection.
- As you approach the end of the form, ensure you review your responses carefully for accuracy before finalizing.
- Sign the applicant's certification section to confirm that all information provided is true. This is vital for the processing of your application.
- After completing the form, you can save changes, download, print, or share the form as necessary.
Start filling out your VA 032-03-0651-13 form online today to secure the assistance you need.
Eligibility Requirements For a household of four, the maximum monthly gross income is $2,790. For more information or to obtain an application, call 757-664-6035 or apply online. Additional information about the Energy Assistance Program is available at Virginia Department of Social Services.
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