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VERIFICATION OF PUBLIC ASSISTANCE - Medgar Evers College - mec cuny 2026

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The document is a verification form for public assistance, intended to be completed by the local Department of Social Services. It requires information about the student and their family's financial assistance case, including details such as case numbers, payee names, income amounts, and household composition for the years 2013 and 2014. The form must be signed by a case worker and may require an official stamp or agency letterhead for validation.

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Click ‘Get Form’ to open the VERIFICATION OF PUBLIC ASSISTANCE document in the editor.
Begin by entering the STUDENT'S NAME and S.S.# in the designated fields at the top of the form.
In the section for the Department of Social Service, provide the Name of Payee and Case Number as required.
Fill in the semi-monthly net amount and monthly rent amount for 2013, ensuring accuracy in your entries.
Indicate whether food stamps were received by checking 'YES' or 'NO'.
Complete the case composition section by listing names as requested, ensuring all relevant individuals are included.
Repeat similar steps for CURRENT information for 2014, filling out amounts and case composition accurately.
Finally, ensure that a Case Worker’s signature, name, date, and official stamp or seal are provided before submission.

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