Get Self Certification Requirements - Ctdol State Ct

This guide provides clear and supportive instructions on how to complete the Self Certification Requirements form for Ctdol State Ct online. By following these steps, users can ensure their information is accurately recorded and submitted without unnecessary complications.

Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to access the Self Certification Requirements form online. This will direct you to the document, ready for editing.
2. Begin by filling out the identifying information section. Enter your name (last, first, and middle initial) as well as your current address in the provided fields.
3. Next, provide your Social Security Number in the indicated format: XXX-XX-XXXX.
4. Enter the date of your application in the format MM/DD/YYYY.
5. In the section that begins with ‘I certify, under penalty of perjury, that the following information is true,’ complete the blank spaces with accurate information about your financial situation. For example, specify if you have received no income during the past six months and detail your circumstances.
6. Affirm that the information you have stated is true and complete by providing your signature and the date below it.
7. If applicable, include the signature of a parent or guardian in the designated area.
8. Indicate the eligibility criteria verification the self-certification is being utilized for in the provided space.
9. Lastly, ensure to have the counselor's signature and date along with the reviewer's signature and date included for final confirmation.
10. Once you have completed all sections, save your changes. You may also download, print, or share the form as required.

Complete your Self Certification Requirements form online today to ensure your information is submitted accurately!