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Contribution Statement needed Yes No Use back side if more space is needed to list household members. Is the landlord related to anyone listed above Yes No Relationship Does the landlord live in the same apartment/rental unit as the tenant Yes No Was a Cash Security Deposit paid by the tenant Yes No If Yes Amount Paid Are you requesting a DSS Security Deposit Agreement Yes No For more information see Renting to a TA Client at http //www. ongov*net/dss/temporaryassistance. html SHELTER EXPE ...

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What is a shelter verification form michigan?

DHS-3688 Form Shelter Verification. Use this document to report address change, and have landlord sign for verification of change in rent and/or utility obligations.

How much do you get for cash assistance in Minnesota?

MFIP/DWP ASSISTANCE STANDARDS FAMILY WAGE LEVEL------------------------------TRANSITIONAL STANDARD----------------------# Eligible PeopleCash Portion1$677$3802$1,115$5833$1,436$6869 more rows Oct 2, 2022

What is a shelter verification form NY?

The LDSS-3668: Shelter Verification form is designed to be completed by the landlord or property owner, when necessary to verify residency and shelter expenses.

How do I apply for general assistance in Hennepin County?

Fill out an application To apply for assistance, fill out an online application or print the combined application form and mail it back to the address below. You may also call 612-596-1300 to have a form mailed to you. Get a translated form from DHS. You can mail the form to P.O. Box 107, Minneapolis, MN 55440.

How do I email Hennepin County?

Email essentialservices@hennepin.us.

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What is General Assistance in MN?

General Assistance (GA) helps Minnesotans with little or no income meet their basic needs. It offers a small monthly cash grant to people with serious illnesses, disabilities or other circumstances that limit their ability to work. General Assistance is interim aid to help until you find another source of income.

How do I upload documents to Hennepin County?

The best option for submitting documents and information is online through your InfoKeep account or MNBenefits. You can also send your documents to our virtual drop box, or fax or mail them. If you dont have access to these options, there are document drop boxes available at any Human Service Center.

What is shelter form?

The shelter allowance program is for low-income individuals and families who spend too much of their budget on housing. It is open to homeowners, tenants and boarders. For the period from October 1, 2022, to September 30, 2023, the program provides $100, $150 or $170 in financial assistance per month.

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What is a shelter verification form michigan?

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What is a shelter verification form NY?

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