​AGENCY FORMS​

• AGENCY SURVEY
• AGENCY NEEDS SURVEY
• AGENCY REPORT CARD (2018)
• HEAP/PIPP APPLICATION 2019/2020
• WIC INCOME GUIDELINES 2019
• Head Start Annual Report 2018-2019
• Head Start Enrollment Application

EMERGENCY PROGRAM FORMS

• REQUIRED DOCUMENTS FOR EMERGENCY PROGRAMS (SCP, WCP, PIPP, HEAP) *NEW
• CUSTOMER DISPUTE AND APPEALS PROCEDURE
• DOCUMENT OF RESPONSIBILITY (If utility bill is not in your name but you are responsible to pay it)
• EMPLOYMENT VERIFICATION FORM * NEW
• INCOME GUIDELINES FOR 2018/2019
• LETTER OF SUPPORT ( If someone helps support you)
• SEASONAL EMPLOYMENT VERIFICATION
• SELF-DECLARATION OF INCOME FORM * NEW
• SELF-EMPLOYMENT FORM * NEW
• SUMMER CRISIS PROGRAM (SCP) MEDICAL ELIGIBILITY FORM (must have physician statement verifying CHRONIC illness)​
• UPDATES  2018/2019 for SUMMER CRISIS PROGRAM, WINTER CRISIS PROGRAM, PIPP AND HEAP PROGRAMS ​