CAC Universal Application For Services

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These are all the members of your household that you have entered.

I certify that the information I have provided is true and correct. I understand that misinformation or refusal to disclose information, which is essential for a determination of eligibility is a basis for disapproval of my application. Also, I hereby authorize Community Action Council of Howard County to verify/obtain any information and documentation, which will assist in determining my eligibility for assistance.
The field below is temporary for testing purposes. Fill it out to decide where the various emails should go.