How to apply after the government decision comes into force, which sets the criteria and amount of economic assistance. Documents needed PAGE 10 HOUSING, WATER/ELECTRICITY/GAS AND DURABLE GOODS 1. Type of dwelling 2. Number of rooms the family has (excluding bathrooms, corridors and balcony) 3. What is the condition of the housing unit? 4. Does your home have, Separate kitchen Attic Separate shower/bath Garage Balcony or terrace Kitchen annex Elevator 5. What is the ownership status of this dwelling? 6. What source of heating do you mainly use in the household? 7. Does the dwelling have its own electricity meter? Yes No 8. Does your family use gas? Yes No What is the purpose of gas use? Lighting Heating Cooking Other electrical appliances FAMILY ASSETS 9. For each item listed below, please indicate whether your family owns it or not Item Code Check whether the assets are reported correctly TV 101 Refrigerator 106 Washing machine 108 Dishwasher 109 Gas/electric stove 110 Kerosene stove 111 Wood-burning stove 112 Microwave 125 Radiator 113 Sewing/knitting machine 115 Boiler 117 Satellite receiver/cable receiver 119 Bicycle 120 Motorcycle/small engine motorcycle 121 Car (specify) 122