Change of Circumstances - DSHS 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name and client ID or social security number at the top of the form.
3. In Section 1, indicate if your address has changed. Fill in the date of your move and provide your new living and mailing addresses, including apartment number, city, state, and zip code.
4. For Section 2, report any changes in shelter costs. Check applicable boxes for renting, buying, or subsidized housing and enter the monthly amounts for rent or mortgage.
5. In Section 3, list any individuals who have moved in or out of your home along with their details. Indicate if you want to include someone in your benefits.
6. Section 4 requires you to report any changes in household resources such as bank accounts or vehicles. Provide relevant details as prompted.
7. In Section 5, document any changes in household income by checking applicable boxes and providing details about job status and income amounts.
8. Finally, review all sections carefully before signing and dating the form at the end. Ensure all information is accurate before submission.

Start using our platform today to easily fill out your Change of Circumstances - DSHS form for free!