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  • 2025 Community Services Intake Application

    PLEASE HAVE PROOF OF INCOME (ALL HOUSEHOLD MEMBERS 18+), CITIZENSHIP (EACH HOUSEHOLD MEMBER), AND YOUR UTILITY BILL READY BEFORE STARTING APPLICATION
  • You are not eligible for our program at this time, please contact our office at 512-763-1400, if you have any questions.

  • YOU ARE UNABLE TO COMPLETE THE APPLICATION AT THIS TIME. Please return to application when you have all documents prepared.

  • Self-Sufficiency Program Information:

    This program is designed to assist families in becoming self-supporting through entering the workforce with greater job and life skills. Families work one on one with a mentor and tailor a service plan unique to the family's needs and barriers to getting back to work.

    Here are a few benefits of the Self-Sufficiency Program:

    • Education
    • Back to Work
    • Coaching
    • Supporting
    • Advocating

    Available for frequent one on ones via face to face, emails, texts and calls through their direct service line

    Mentors are available Monday - Friday 8am to 5pm with exeption to holidays.

  • Applicant Information

  • UTILITY SERVICE VENDOR INFORMATION

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  • Household Members Information

    Please include yourself when answering the following questions:
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  • You will not be able to complete this application until you upload proof of income and bill documentation.

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  • FOR THE FILLABLE DOCUMENTS LISTED ON THIS PAGE, RIGHT CLICK AND SAVE THE BLANK DOCUMENT. ONCE FILLED OUT PLEASE UPLOAD DOCUMENT(S) IN THE APPROPRIATE UPLOAD BOX BELOW:

  • All Electronic Signatures will be in the form of a textbox. The signature signifies that all the information on the form is filled and correct.

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  • APPLICATION AUTHORIZATION

    • I understand that my household gross (pre-tax) income has been annualized, at the time of application, according to pre-established agency procedure.
    • I am aware that I am subject to prosecution for providing false or fraudulent information on this application. I also understand that receipt of assistance through misrepresentation or fraud is punishable by fine or imprisonment.
    • I understand that I may request a hearing to appeal a denial of eligibility, amount of assistance received, or a delay in service.
    • I authorize the Texas Department of Housing and Community Affairs and Opportunities for Williamson and Burnet Counties, Inc. to solicit/verify information including utility and/or fuel bills (if applying for utility assistance) and employment verification, both past and future, to the extent that the information is used only to determine eligibility and provide data.
    • I am an applicant of Opportunities for Williamson and Burnet Counties, Inc. I hereby give my permission to release and verify all information requested and understand that it will be kept in strict confidence to be used for program purposes only. I understand that a photocopy of this release is as valid as the original and may be used to obtain employment information or verify other data.
    • I understand that if I move residences or change utility companies, I must notify Opportunities for Williamson and Burnet Counties, Inc. within 5 business days with my new utility company, account number, and name on the account. If I do not notify Opportunities for Williamson and Burnet Counties, Inc. of my new utility company, I will lose any payments due. When the information is provided, any remaining assistance may be reinstated. (If applying for utility assistance.)
    • I understand that if my current monthly bill exceeds the payment agreement for that month that I am responsible for the remaining balance owed to the vendor. Should I be disconnected for failure to pay any remaining balance owed to the vendor, I will be terminated from the Utility Assistance program, and this agreement becomes null and void. (If applying for utility assistance.)
    • I understand that my application will be processed according to the guidelines set and the information is completed, signed, and proper documentation was provided as requested or my application will be denied.
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