By entering your name below, you declare that the information on this form is complete and accurate to the best of your knowledge. Please note that Social Services requires proof of residency and proof of income upon registration. Depending on the circumstances, you may also be required to provide documentation including, but not limited to: proof of eviction, shut off notices, estimates for home or car repairs, utility bill with back balance, heating bill with back balance, current lease or mortgage statements. Documentation will vary per request.