​AGENCY FORMS​

• AGENCY SURVEY
• AGENCY NEEDS SURVEY
• AGENCY REPORT CARD (2018)
• HEAP/PIPP APPLICATION 2020/2021
• WIC INCOME GUIDELINES 2020/2021
• 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 Click Here
• INCOME GUIDELINES FOR 2018/2019
• LETTER OF SUPPORT (If someone helps support you) Click Here
• SEASONAL EMPLOYMENT VERIFICATION Click Here
• SELF-DECLARATION OF INCOME FORM Click Here
• SELF-EMPLOYMENT FORM Click Here 
• SUMMER CRISIS PROGRAM (SCP) MEDICAL ELIGIBILITY FORM (must have physician statement verifying CHRONIC illness) Click Here