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.