Costa Rica - United States Department of State 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the applicant's legal name and chosen name in the designated fields. Ensure accuracy as this information is crucial for identification.
3. Fill in the date of birth. This helps verify eligibility for services. If applicable, include the MAXIS case number for office use.
4. In Section 1, select your current housing situation. You may choose multiple options that apply to your circumstances.
5. Proceed to Section 2, where a qualified professional must confirm any disabling conditions. Ensure they sign and date this section.
6. For Section 3, identify areas where support is needed for stable housing. This section is mandatory for MA Housing Stabilization Services.
7. Complete Section 4 if you are applying for Minnesota Housing Support, indicating necessary supports required to maintain housing.
8. If applicable, fill out Section 5 regarding transition from residential treatment, ensuring it is signed by the appropriate staff member.

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