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FAMILY INCOME VERIFICATION FORM - 52

FAMILY INCOME VERIFICATION FORM - 52 2025

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The document is a Family Income Verification Form for Hillsborough County, intended for applicants seeking grant or loan funds through the Community Development Block Grant (CDBG) program. It requires participants to provide information about their household income and demographic data, including race and ethnicity, to ensure compliance with grant requirements. The form emphasizes confidentiality and the importance of accurate data submission.

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2017	4.8 Satisfied (120 Votes)

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What is a DHS form 702 in Arkansas?

The DCO-702 is used by facilities to report to the DHS county office all Medicaid-related admissions, discharges, and transfers. The DCO-702 will be completed by facility staff and signed by the facility administrator as soon as possible after the admission or change in status of the patient.

How do I verify my employment income?

Other ways to verify employment To get one, contact human resources at your employer. Pay stubs or W-2s: Your pay stubs and W-2s provide proof of income from a previous employer and can prove when you worked there.

What is an income verification form?

One of the common ways to prove income is to provide a proof of income letter, which determines and confirms applicants income and employment status. This letter should clearly state basic income information, including working hours, annual income, or wage per hour.

What is the DHS verification of employment form?

Those requesting employment or salary verification may access THE WORK NUMBER online at using DOLs code: 10915. You may also contact the service directly via phone at: 1-800-367-5690.

What is the fax number for The Work Number?

The purpose of the DHS Verification of Employment Form is to facilitate the official process of confirming an individuals employment status and details. This form serves both current and former employees who need verification for various reasons, such as job applications and financial verifications.

What is the fax number for Arkansas Department of Human Services verification of earnings?

All requests must be submitted in writing via US mail to the address below, via fax to 501.682. 6553 or via email to emp.verifications@dhs.arkansas.gov.

What is the phone number for access in Arkansas?

If you have any questions about the updated Access.Arkansas.gov when you start using, you can: Call our support line at 1-855-372-1084. Call or visit your local county office | Find your county office.

FAMILY INCOME VERIFICATION FORM - 52 2025

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