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Click ‘Get Form’ to open the DFA Form 768 in the editor.
Begin by entering your name, physical address, mailing address, case number, and telephone number in the designated fields.
In the 'Meal Arrangement for Food Stamps' section, list everyone who lives with you. Fill in their names, relationship to you, and telephone numbers.
Indicate whether each person listed is on the shelter’s lease and if they buy their own food. Ensure that signatures are provided for individuals over age 18.
For the 'Shelter Arrangement' section, answer whether your name is on the lease and provide details about your rent portion and responsibilities for utilities.
If applicable, indicate if you received fuel assistance in the past year and provide a copy of any approval letters if required.
Finally, sign and date the form before submitting it to the Centralized Scanning Unit (CSU).
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General Affidavit Form (DOR-768) Non-Use (notary required): Must be completed when applicant asks to license a vehicle that has not been operated on the highways, and applicant wishes to have registration fee prorated. Submitting an affidavit of non-use does NOT exempt the applicant from applicable renewal penalties.
How to fill out shared shelter form NH?
List everyone you live with (all family members and roommates, including children). Use back of form for more space if needed. If you are responsible for utilities separately from the rent, please check which utilities you pay for. If any utilities are in your name, please provide a copy of the current bill.
nh form 768
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