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EASSHORTFORMPAGE1 CityEnvironmentalQualityReview ENVIRONMENTALASSESSMENTSTATEMENT(EAS)SHORTHORN FORUNLISTEDACTIONSONLYPleasefilloutandsubmittotheappropriateagency(see instructions)Part:GENERALINFORMATION 1.
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To fill out the EAS short form, follow these steps:
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Start by downloading the EAS short form from the official website.
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Fill in your personal information, such as your name, address, and contact details, in the designated fields.
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Provide details about the type of assistance you are seeking and clearly state your needs.
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Specify your income and financial information accurately.
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Attach any required documents, such as proof of income or medical reports.
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Review the completed form to ensure all information is correct and legible.
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Sign and date the form.
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Submit the filled-out form either in person or through the appropriate online submission method.
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Retain a copy of the filled-out form for your records.
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Keep track of any follow-up communication and respond promptly if required.

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The EAS short form is intended for individuals or families who require emergency assistance or immediate support for various needs, including but not limited to:
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- Financial assistance due to unforeseen circumstances
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- Emergency housing or shelter
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- Food and nutrition support
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- Medical or healthcare needs
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- Educational or job training support
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- Transportation assistance
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- Legal assistance
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- Childcare or parenting support
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- Counseling or mental health services
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If you find yourself in a situation where you require immediate help in any of these areas, you may need to fill out the EAS short form.
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EAS stands for Electronic Assistance System.
All organizations or individuals receiving federal funding must file the EAS Short Form.
EAS Short Form can be filled out online through the Electronic Assistance System portal.
The EAS Short Form is used to report financial information and compliance with federal funding requirements.
Information such as financial expenditures, program activities, and compliance with funding regulations must be reported on the EAS Short Form.
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