Household composition 2025

1. Click ‘Get Form’ to open the Household Composition & Income Eligibility Form in the editor.
2. Begin by entering the date and participant name at the top of the form. Indicate if the head of household is present by checking 'Yes' or 'No'.
3. Fill in the total number of household members and provide your HMIS ID, if applicable.
4. In Section I, list each household member's first name, last name, age, relationship to the head of household, and whether they currently reside in the household.
5. Proceed to Section II to document each member's income source, gross documented income per pay period, frequency of payment, and annual gross income.
6. In Section III, calculate total adults and minors in the household along with their annual gross income. Check if your household meets AMI requirements.
7. Finally, ensure all signatures are collected in Section IV and V for verification before submitting your completed form.

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