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This form is primarily required by individuals applying for Medi-Cal or similar assistance programs who receive housing, utilities, food, or clothing without direct payment. It is particularly relevant for low-income families, individuals living with relatives, or those engaged in work-exchange arrangements where compensation is not monetary. For instance, a person living rent-free with a family member must document this arrangement to qualify for healthcare benefits.
To successfully file the Income In-Kind/Housing Verification form, applicants must ensure that it is completed accurately and submitted within the specified deadlines set by their local county office. Typically, this form should be filed alongside other application materials when seeking Medi-Cal benefits. Required documentation may include proof of residency and any agreements related to the provision of in-kind support.
Submitting the Income In-Kind Housing Verification form involves several steps. First, obtain a copy of the form from your local county health department or download it from DocHub. After filling out all necessary sections and obtaining required signatures, you can submit it either online through your county's submission portal or print it out and mail it directly to your eligibility worker's office.
It’s crucial for applicants to understand that any false information provided on this form can lead to penalties under California law. Additionally, maintaining open communication with your eligibility worker can help clarify any questions regarding what constitutes acceptable in-kind income.
