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RELOCATION NEEDS ASSESSMENT FORM <br />PAGE 5 <br />7. 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 />8. Are you currently looking for another housing unit? If so, in what <br />area? <br />9. 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 />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 />s <br />