Laserfiche WebLink
<br />)' <br /> <br />RELOCATION NEEDS ASSESSMENT FORM <br />PAGE 5 <br /> <br />7. <br /> <br />What are your average monthly utility costs? (If higher during one part of the year <br />than another, list highest average) , (ATTACH ONE COpy OF EACH <br />UTILITY BILL THAT YOU HAVE TO PAY FOR IF YOU ARE APPLYING <br />FOR RELOCATION ASSISTANCE PAYMENT.) <br /> <br />8. <br /> <br />Are you currently looking for another housing unit? <br />area? <br /> <br />If so, in what <br /> <br />9. <br /> <br />Do you currently have statements from movIng and/or storage companies to <br />move/store your personal property? (ATTACH COPIES OF <br />ESTIMATES IF YOU ARE APPLYING FOR A RELOCATION ASSISTANCE <br />PAYMENT) <br /> <br />10. Are there any particular conditions which should be considered regarding your <br />displacement? (i.e., are you elderly, disabled, etc., need assistance packing, need <br />transportation to look for replacement housing, etc.) Explain: <br /> <br />26 <br /> <br />.........., -- '------~- ' <br />