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  • Va 032-03-0651-13 2017

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Date Application Received PLEASE ANSWER ALL QUESTIONS COMPLETELY Part I Worker # Applications are accepted from November 1 through March 15 In what city or county do you live? Home Phone Cell Phone Work Phone Email Address Preferred Contact Method CIRCLE ONE Contact Method above Your Name (last, first, middle initial) Your Physical/Service Address (include Apt number) City, State, ZIP Prima.

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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.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. 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.
  3. Fill in the date your application is received. This ensures proper record-keeping and processing of your application.
  4. Provide all necessary personal details including your name, physical address, and preferred contact method. Be sure to circle your preferred method of communication.
  5. In Part II, specify your crisis need by checking all applicable options, such as heating equipment repair or emergency shelter.
  6. Indicate your current living situation by circling the letter that best describes it. This is essential for determining eligibility.
  7. Record the number of people living in your household and indicate if anyone is temporarily out of the home, providing their expected return date.
  8. List everyone living in your home, including their social security numbers, genders, and any income sources.
  9. Address questions regarding citizenship status, disabilities within the household, and types of household income. Provide accurate responses to all questions.
  10. 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.
  11. If applicable, provide details about your electric service company and any balances due that could lead to service disconnection.
  12. As you approach the end of the form, ensure you review your responses carefully for accuracy before finalizing.
  13. Sign the applicant's certification section to confirm that all information provided is true. This is vital for the processing of your application.
  14. 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.

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Crisis Assistance Application
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Crisis Assistance Application
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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.

Crisis Assistance Program This assistance offers heating equipment repair or purchase and/or a one-time only heat security deposit. Purchase of home heating fuel or payment of heat utility bill is available beginning January 1st.

Crisis assistance means the assistance provided to help low-income households to meet crisis situations such as supply shortages, loss of household heating or cooling, minor fuel source repairs, heating or cooling repairs/replacements, and other situations approved by the department as described in the state plan and ...

To apply go to your local Department of Social Services. These are the times to ask for Crisis Assistance: November 1 through March 15 for equipment-related assistance, security deposits, and emergency shelter. First workday in January through March 15 for heating fuel and utility bills for primary residences.

Any persons may own real or personal property as joint tenants with or without a right of survivorship.

CommonHelp Child Care Services. Energy Assistance (Cooling, Heating, or Crisis) Financial Assistance Programs. Medicaid. Supplemental Nutrition Assistance Program (SNAP) (Formerly known as food stamps) Temporary Assistance for Needy Families (TANF)

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
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
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232