Hra recertification form 2025

1. Click ‘Get Form’ to open the HRA Recertification Form in the editor.
2. Begin by entering your Head of Household Name and the last four digits of your Social Security Number at the top of the form.
3. In Part 1, review and update your personal information. Ensure all details are accurate, especially if there have been any changes.
4. Move to Part 2 and list all household members. Indicate their relationship to you, date of birth, and whether they are full-time students or have left the household.
5. In Part 3, provide your household's total annual income. Include all sources of income and correct any inaccuracies noted in the form.
6. Complete Part 4 regarding assets. List any valuable items that can be converted to cash and provide necessary documentation.
7. Fill out Part 5 if applicable, detailing any additional expenses such as childcare or medical costs that may affect your eligibility.
8. Finally, sign and date the Certification Statement in Part 6 to confirm that all information is true and complete before submitting your package via email or mail.

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