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PROHIBITION AGAINST DISCRIMINATION
This application will be considered without regard to race, color, sex, age, handicap, religion, national origin, or political beliefs.

RIGHT OF APPEAL
If you are not satisfied with the action of Dallas County Community Services , you may appeal to the Dallas County Board of Supervisors, Adel, Iowa 50003.

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07/16/2025Click to Sign

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Applicant Photo Identification Click Here to Upload
Face sheet of the lease that shows who the landlord is, the amount of the monthly rent, and who is listed as household members Click Here to Upload
Documentation of the last 30 days of any income coming into the household Click Here to Upload
The most recent full utility bill. (Only applicable for utility assistance) Click Here to Upload