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Miami Valley Community Action Partnership Emergency Services CSG Customer Intake Application Date Have you already received a 3day or eviction notice from your landlord? Yes First Name:Primary Applicant
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How to fill out csbg-emergency-services-customer-application-form 1

01
Obtain a copy of the CSBG emergency services customer application form from the relevant agency or organization.
02
Fill out all required personal information such as name, address, contact information, and household size.
03
Provide details about your current situation and the type of emergency services needed.
04
Make sure to sign and date the application form before submitting it to the designated office or personnel.
05
Attach any necessary supporting documents such as proof of income, identification, and documentation related to the emergency situation.

Who needs csbg-emergency-services-customer-application-form 1?

01
Individuals and families facing financial hardship or emergency situations that require assistance from the CSBG emergency services program.
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CSBG Emergency Services Customer Application Form 1 is a form used to apply for emergency assistance services provided by the Community Services Block Grant (CSBG) program.
Individuals or families in need of emergency assistance services and meet the eligibility requirements set by the CSBG program are required to file Form 1.
The form can be filled out by providing personal information, household details, income information, and detailing the emergency assistance needed.
The purpose of Form 1 is to assess and determine the eligibility of individuals or families for emergency assistance services provided by CSBG.
Information such as personal details, household composition, income sources, emergency assistance needed, and any other relevant information must be reported on Form 1.
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