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1210 23rd Avenue South Waite Park, MN 56387 3202511612 (fax) 3202559518WATER/SEWER & PROPERTY TAX ASSISTANCE Date:___ County: ___Number in household: Client Name: ___ Address: ___ ___ Phone:Email:What
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How to fill out tri-cap intake form

01
Obtain a copy of the Tri-Cap intake form from the organization or website.
02
Read all instructions carefully before filling out the form.
03
Provide accurate personal information such as name, address, contact number, and social security number.
04
Fill out the sections related to household income, household size, and any sources of financial support.
05
Answer any additional questions related to employment, education, and health status.
06
Review the completed form for any errors or missing information before submitting it to Tri-Cap.

Who needs tri-cap intake form?

01
Individuals and families seeking assistance with finances, housing, education, or health may need to fill out a Tri-Cap intake form.
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The tri-cap intake form is a document used to collect information about individuals seeking assistance from the Community Action Partnership for Dutchess County (CAP).
Individuals seeking assistance from the Community Action Partnership for Dutchess County (CAP) are required to file the tri-cap intake form.
To fill out the tri-cap intake form, individuals must provide accurate information about their household income, expenses, and basic needs.
The purpose of the tri-cap intake form is to assess the eligibility of individuals for various assistance programs offered by the Community Action Partnership for Dutchess County (CAP).
Information such as household income, expenses, family size, and basic needs must be reported on the tri-cap intake form.
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