Form 11 44h hhsa 2025

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The document is an affidavit form (Form 11-44H) from the County of San Diego Health and Human Services Agency, intended for individuals experiencing homelessness. It requires applicants to declare their living situation by checking various options such as shelters, vehicles, or friends' houses. The form also asks for details about their living conditions, any payments made for housing, and information about where they obtain meals. The applicant must sign the form under penalty of perjury.

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