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Click ‘Get Form’ to open the household verification form in the editor.
Begin with Part I, where you will find case information. This section is typically filled out by the county department, so ensure that your applicant name is correctly entered.
Move to Part II and provide your case number, caseworker's name, and their contact information. This helps in tracking your application efficiently.
In Part III, as the applicant, fill in your landlord’s details including their name, address, and phone number. Your signature here grants permission for information sharing.
List all individuals residing at your address in Part IV. Include first names, last names, relationships to you, and dates of birth if applicable.
Complete the tenant/rent/utility info section by entering details about the rental agreement and any utility reimbursements. Ensure accuracy for a smooth process.
Finally, sign in Part V to confirm that all provided information is accurate. Indicate whether you are the landlord or another individual completing this form.
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