
Home Address: P. O. Boxes not accepted Public Employee? *Low-income resident of the community? Resident of a low-income neighborhood in service area? Elected rep of low-income neighborhood organization? City/State/Zip: County: Phone: Place of Employment: Yes Yes Yes Yes Yes No No No No No Included Additional Comments: Board Position: NA Name: Elected or appointed Public Official? Home Address: P. O. Boxes not accepted Publ.
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How to fill out the WVHDF CHDO-102 online
Filling out the WVHDF CHDO-102 form is an important process for documenting the representation of low-income residents on your board. This guide will provide clear, step-by-step instructions to help you complete the form online with ease.
Follow the steps to successfully complete the form
- Click 'Get Form' button to obtain the form and open it in your online editor.
- Begin by entering the name of the first board member in the designated field. Make sure to fill this out accurately.
- Indicate whether the board member is an elected or appointed public official by selecting the appropriate option.
- Provide the home address of the board member, ensuring that a P.O. Box is not used, as it is not accepted.
- Specify if the board member is a public employee by checking the corresponding box.
- Confirm if the board member is a low-income resident of the community by checking 'Yes' or 'No'.
- Indicate if the board member resides in a low-income neighborhood within the service area.
- If applicable, mark whether the board member is an elected representative of a low-income neighborhood organization.
- Fill in the city, state, zip code, and county related to the board member's residence.
- Enter the board member's phone number and place of employment.
- Provide additional comments in the designated section if necessary.
- Repeat the above steps for any additional board members, making sure to fill in all relevant information.
- Complete the certification of low-income representation form (WVHDF Form CHDO-101) and attach it as instructed.
- Once all fields are filled out adequately, save your changes and download, print, or share the completed form as needed.
Take action today and complete your WVHDF CHDO-102 online!
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