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ACO

Please complete the following application in order to be considered for services through All Community Outreach.


Once you fill out the application, please call ACO at our main line at 972-727-9131 to begin the process. 

Please select your Language.




If you do not have a middle name, please leave this blank


Example: 05/27/1979







If you do not have a phone number contact ACO at 972-727-9131

Everything is tied to your email address, so please provide one you will check regularly, however, if you do not have an email address, please use the following address: none@acocares.org

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Make sure to include yourself





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Please make sure to enter the head of household first.

Please complete a section for each family member in your household.

SEE "ADD ANOTHER HOUSEHOLD MEMBER" UNDER EMPLOYER'S BOX BELOW

All Household Member Names








Format: ###-##-####


Please do not include $, commas or decimals

Please leave blank if you are unemployed

Affidavit

AGREEMENT


I certify this application has been complete to the best of my knowledge with complete & accurate information. I understand that false statements or omissions of facts relevant to my eligibility for assistance will be considered fraud and that I may be prosecuted under applicable U.S. Codes for this fraud. Furthermore, I understand that assistance granted to my household based on fraudulent information must be reimbursed in whole to the City of Allen.


Important; Section 101 of Title 18 of the U.S. Code makes it a criminal offense to make willful false statements or misrepresentation to any department or agency of the United States Government as to any matter within its jurisdiction.


I am signing this Application and Affidavit by electronically entering my name below .