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325.653.2411
1.877.41.CVCAA

Forms

 

Bills must be paid and current (no Past Due Balance or Disconnect Notices) when mailing in an application or services may be denied.

Until your application is processed, you will be responsible for your utility bills and any late fees that may occur.  Please allow up to 4 weeks to process your application. 

All applications must be complete with all required documents.  Failure to provide complete information will result in delay or denial of your application.

 

 

Application for Assistance

 

Verification of Income 

To be used if checks stubs are not available

 

No Income Statement 

ONLY to be used for household members 18 years and older with either no income or self employed income &/or pensions where no proof of income can be obtained.

Landlord Permission Form

Weatherization only (for households that rent)

 

Tax Preparation Intake

 

Applications and all supporting documents may be turned in in person, by email, or by fax.

 

Mailing address: PO Box 671, San Angelo, TX 76902

Email address: mail@cvcaa.org

Fax number: 325-658-3147