Laserfiche WebLink
EXHIBIT 1 <br />This is to certify that the information provided on this form is true and correct to the best of my <br />knowledge, and that the individual named above in Item 1 meets the requirement laid out on this form for <br />an emergency transfer. I acknowledge that submission of false information could jeopardize program <br />eligibility and could be the basis for denial of admission, termination of assistance, or eviction. <br />Signature <br />Signed on (Date) <br />Pag <br />- — 025 <br />City Council 744 5 2 25 <br />