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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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Additional Signatures Required

Upload Supporting Document(s)

Please upload the following attachments:

YOU MUST CLICK ON THE BLUE UPLOAD BUTTON AT THE BOTTOM AFTER SELECTING THE DOCUMENT TO ATTACH. There is a 250MB limit on each attachment.

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

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