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Participant Informational Name: Address: HAC SB/Section 8? Yes Notate of Birth: Phone Number: Email: Do you have Health Insurance? Yes Type of Insurance (circle one):MedicareMediCalMedicare/Medical
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Read the instructions thoroughly to understand the purpose of each section.
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Start filling out the form by providing your personal information, such as name, address, and contact details.
06
Answer the demographic questions accurately, as this information is important for program eligibility.
07
Proceed to the next sections and fill out the required details related to your income, assets, and expenses.
08
If applicable, provide information about your employment status and any other sources of income.
09
Complete the section regarding your household composition, including the number of people living with you.
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The HACC intake formdocx is required by individuals or families who are seeking assistance from the Housing Authority of Cook County (HACC).
02
These individuals or families may be in need of affordable housing, rental assistance, or other housing-related programs and services provided by HACC.
03
The intake form helps HACC determine eligibility and provide appropriate assistance based on the individual or family's specific circumstances and needs.
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HACC intake formdocx is a document used to collect information from individuals applying for the HACC program.
Individuals applying for the HACC program are required to file the hacc intake formdocx.
To fill out the hacc intake formdocx, individuals should provide accurate information about their personal details, income, assets, and other relevant information requested on the form.
The purpose of the hacc intake formdocx is to determine eligibility for the HACC program and to assess the needs of individuals applying for assistance.
The hacc intake formdocx requires individuals to report their personal details, income, assets, household composition, and any other relevant information requested on the form.
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