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Community Assistance Online Application

Application Document CheckList

In order to complete your web application, please download the Authorization of Release of Information and the Application Signature Page forms, have all members of the household (ages 18 and older) sign these two forms and submit them along with the other required documents.

  • Valid Legible Florida Picture ID or Valid Legible Florida Driver's License of all adult household members (ages 18 and older)
    • Please note: Out of state IDs, expired IDs, Passports, Military IDs are not acceptable forms of identification
  • Social Security cards or two page letter from SSA indicating your name and social security number for all household members
  • All household members must provide a U.S.birth certificate(avalid U.S.Passport, Voter's Registration card or Naturalization Certificate may be substituted if a U.S. birth certificateis not available)
  • Documentation of Name Change (if name on valid Florida ID or Driver's License, or any other documentation being submitted, does not match name on U.S. Birth Certificate)
  • If any household member is not a U.S. Citizen, you must provide a copy of the Valid Permanent Resident Card
  • Current Mortgage Statement/or Proof of Ownership
  • Current Valid Lease Agreement and utility addendum if water payment included with the rent (lease renewal required if lease is ending withing the next 60 days) and
  • Current Utility Bill within last 30 days (electric, water or gas showing name and address)
  • Homeless customers must provide signed, affidavit of homeless status in Seminole County and
    • Letter from agency or facility on signed company letterhead verifying homeless situation or
    • Court eviction within the last 12 months to show homelessness

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