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CVCAA - Homepage
133 W Concho Ave
Suite 301
San Angelo, TX 76903
325.653.2411
1.877.41.CVCAA

Forms

We are not accepting any new Utility Assistance applications for all counties. If we can re-open applications, we will make an announcement here and on our social media pages.

 


 

Upload Application and Supporting Documents

  

Please see the supplemental forms below. Failure to provide these forms, if applicable, will delay the processing of your application and may result in denial of services.

UTILITY APPLICATIONS

Verification of Income 

This form is to be used if a member of the household who is 18 years old or older is working, but is unable to obtain paycheck stubs.

Declaration of Income/No Income Statement 

This form is to be used if a member of the household who is 18 years old or older is not working, is self-employed and does not receive paychecks, or receives a pension that does not provide documentation.

 WEATHERIZATION APPLICATIONS

Landlord Permission Form

This form is for households that are applying for weatherization services that rent their home. The form must be completed by the landlord.

HOUSING/VETERAN SERVICES APPLICATIONS                                   

   Disability Verification Form 

This form is for households applying for rental assistance inside San Angelo city limits. This form must be filled out by your physician and it must be faxed or emailed directly from their office.

         Zero Income Documentation

This form is to be used if a member of the household who is 18 years old or older  is not working, is self-employed and does not receive paychecks, or receives a pension that does not provide documentation.

Certificate of zero bank accounts 

This form is to be used if the household does not have any savings or checking accounts

Veteran/Active Duty Documentation

To receive veteran/active duty services, you must provide one of the following:

  • Uniform Services ID Card 
  • Certification of Military Service 
  • DD-214 (Copy 4 only) 
  • NGB-22 
  • NA Form 13038 
  • Veteran Health ID issued by Department of Veterans Affairs 
  • Veteran ID issued by Department of Veterans Affairs 
  • Veterans Affairs Summary Letter with Character of Service 
  • Veterans Affairs E-Benefits Summary Letter w/Character of Service 
  • Certificate verifying Active-Duty Status from Dept of Defense 

Suviving spouses must provide two of the following and one of the above:

  • Marriage certificate 
  • Death certificate 
  • Uniform Service ID Card