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REQUEST FOR UTILITY ASSISTANCE Apartments MONTH YEAR FOR WHICH ASSISTANCE IS REQUESTED Resident Name Address Apt UA Amount Requested MUST BE SUBMITTED TO HVM LAST DAY OF EACH MONTH MANAGER DATE OF REQUEST Request for Utility Form 822 Assistance rev September 2006.
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This refers to the specific month and year for which assistance is being requested.
Individuals or entities who are seeking assistance for a particular month and year must file monthampyearforwhichassistanceisrequested.
To fill out monthampyearforwhichassistanceisrequested, provide the necessary information requested for the specific month and year.
The purpose of monthampyearforwhichassistanceisrequested is to specify the time period for which assistance is needed.
The information required on monthampyearforwhichassistanceisrequested may include financial data, expenses, and any other relevant details for the specified month and year.
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