WebCal District Commissioners Issuing Division/Office: Center for Employment and Economic Supports Date: July 12, 2010 Subject: Revised LDSS-3668: Shelter Verification Form Suggested Distribution: Food Stamp Benefits Staff Temporary Assistance Staff MA Directors CAP Coordinators Employment Coordinators WMS Coordinators Staff Development … Webchildren under the age of six (6), a DHS-3688, Shelter Verification form, with a revision date of November 2007 or later, is required. A question has been added to the revised form asking if the home is free of lead paint. Refer to Exhibit I. The shelter provider is required to complete and sign the DHS-3688.
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WebHow you can fill out the Less 3668 form online: To get started on the document, use the Fill camp; Sign Online button or tick the preview image of the form. The advanced tools of the editor will lead you through the editable PDF template. Enter your official identification and contact details. Use a check mark to indicate the choice wherever ... WebSTATE OF MICHIGAN DEPARTMENT OF HUMAN SERVICES RFB 2009-001 1-1-2009 EXHIBIT RFF 3503 DHS-3503, ... information must be provided on a DHS form, the form is enclosed. You must get the proofs to me or call me by ... DHS-3688. Shelter verification Current proof of rent, mortgage or land contract payments ... city inn leeds
Shelter verification form dhs: Fill out & sign online DocHub
WebDEPARTMENT OF HEALTH & HUMAN SERVICES Use the DHS-3503C, Verification Checklist for Citizenship/Identity, to request documentation of citizenship or identity for … WebFill out Dhs 3688 Shelter Verification Form in a couple of moments following the instructions listed below: Find the template you require from our library of legal form samples. Click the Get form key to open the … WebOct 1, 2024 · Shelter Costs • DHS-3688, Shelter Verification, form signed and dated. • Written statement from the shelter provider. STATE EMERGENCY RELIEF MANUAL STATE OF MICHIGAN . DEPARTMENT OF HEALTH & HUMAN SERVICES . ERB 2024-002 ERM 303 6 of 7 RELOCATION SERVICES 10-1-2024 . Homelessness • Eviction, … city inn mahabaleshwar