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Assistance Forms
Meeting Minutes & Videos
Township Board
Communities
Contact Us

Home
Assistance Forms
Meeting Minutes & Videos
Township Board
Communities
Contact Us

Assistance Forms

You must call in advance for an appointment
+1(812) 824-7225

Paper application forms can also be picked up at the Township Office and Smithville Food Pantry.
Applicants must live in Clear Creek Township and we ask that applicants complete the application and afterward call for an appointment.

Trustee Appointment Form (This form must be printed or picked up at Township office.) (pdf)Download

SSD-SSI Questionnaire for Application (This form must be printed or picked up at Township office.) (pdf)Download

Medical Statement Form (This form must be printed or picked up at Township office.) (pdf)Download

Landlord Statement (This form must be printed or picked up at Township office.) (pdf)Download

General Assistance Form (pdf)Download

Basic Living Expenses (This form must be printed or picked up at Township office.) (pdf)Download

Township Assistance (This 10 page form must be printed or picked up at Township office.) (pdf)Download

What do I need to bring to my appointment? (pdf)Download

Form-TA-1B (This form must be printed or picked up at Township office.) (pdf)Download

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