Metrocrest Services operates in accordance with the US Department of Agriculture and Texas Health and Human Services Commission policy, which prohibits discrimination on the basis of race, color, sex, age, disability, religion, political belief, or national origin. Social Security numbers are not required in order to receive food, rental, and utilities assistance. Metrocrest Services has my permission to exchange information regarding my circumstances with other Human Service Agencies. I understand that information on this form may be verified. I understand that inappropriate behavior may result in loss of services.
1. I am a member of the household living at the address provided and, on behalf of the household, I apply for USDA Foods that are distributed through The Emergency Food Assistance Program.
2. All information provided to the agency determining my household’s eligibility is, to the best of my knowledge and belief, true and correct, and
3. If applicable, the information provided by the household’s Authorized Representative is also, to the best of my knowledge and belief, true and correct.