HAAM consent and release of information for Basic Needs.
- I certify that the information I have provided is true and correct to the best of my knowledge.
- I understand that providing false information to Humble Area Assistance Ministries will void eligibility services.
- I consent to the release of pertinent information contained in my file as necessary to complete services for my household, authenticate information for service consideration, provide statistical information for the purpose of continued funding, or to ensure duplication of assistance does not occur.
- I hereby authorize my housing or utility supplier to release information concerning my accounts as necessary to ensure timely processing of applicable financial assistance applications.
Completion of application does not guarantee assistance.