Dhs 2952-2026

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4.4 out of 5

49 votes

The document is an 'Authorization for Release of Information About Residence and Shelter Expenses' form used by the Minnesota Department of Human Services. It requests verification of a tenant's residence and shelter expenses to determine eligibility for public assistance. The form includes sections for tenant information, rental details, and authorization signatures, along with privacy notices regarding the release of personal information.

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Click ‘Get Form’ to open the DHS 2952 in the editor.
Begin by entering the date and case number at the top of the form. This information is crucial for tracking your application.
Fill in the worker's name, agency name, and contact details. Ensure accuracy as this will facilitate communication regarding your application.
Provide tenant information including their name and address. This section is essential for verifying residence and shelter expenses.
On the back of the form, complete the authorization section. Sign and date where indicated to allow information release.
If you are a property owner or caretaker, complete the relevant sections about rental information, including rent amounts and utility responsibilities.
Finally, review all entries for accuracy before submitting. Use our platform’s features to save or print your completed form.

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Versions	Form popularity	Fillable & printable
2022	4.5 Satisfied (48 Votes)
2014	4.4 Satisfied (49 Votes)

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