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GITC ID Last Name First Name 20162017 Homeless×Risk of Homelessness Certification Floyd County One Maurice Culbertson Dr. Rome, Ga. 30161 Gordon County 1151 Hwy. 53 Spurs, SW Calhoun, Ga. 30701 Polk
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How to fill out 2016-2017 homelessat-risk of homelessness:

01
Start by gathering all the necessary information and documentation, such as identification documents, proof of income, and any relevant medical or disability records.
02
Carefully read through the form and understand each section, paying attention to any specific instructions or requirements.
03
Begin filling out the form by providing your personal information, including your full name, address, contact information, and social security number.
04
If applicable, indicate your current housing situation and explain any risk factors that make you vulnerable to homelessness.
05
Provide accurate details regarding your household and family members, including their names, ages, and relationship to you.
06
In the financial section, provide information about your income, including any wages, benefits, or assistance programs you receive.
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Answer all questions honestly and to the best of your ability, providing any additional information or explanations requested.
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Review the completed form to ensure all sections have been filled out accurately and completely.
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Sign and date the form, and make a copy for your records before submitting it to the appropriate agency or organization.

Who needs 2016-2017 homelessat-risk of homelessness:

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Individuals or families who are currently experiencing homelessness or at risk of becoming homeless.
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Social service agencies, non-profit organizations, or government entities working to provide assistance and support to individuals and families facing homelessness.
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Advocacy groups or researchers seeking to gather data and statistics on homelessness in a specific area or population.
Note: The term "2016-2017 homelessat-risk of homelessness" seems unclear and may not be an official or widely recognized term or form. The provided information is based on general guidance for filling out forms related to homelessness or risk of homelessness.
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Homeless/at-risk of homelessness certification is a process to determine individuals or families who are without a permanent residence or at risk of losing their housing.
Service providers, social workers, and government agencies are required to file homeless/at-risk of homelessness certification.
To fill out homeless/at-risk of homelessness certification, provide accurate information about the individual or family's housing situation, income, and other relevant details.
The purpose of homeless/at-risk of homelessness certification is to identify individuals and families in need of housing assistance and support services.
Information such as current housing situation, income, household composition, and any other relevant details must be reported on homeless/at-risk of homelessness certification.
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