MSA, GA, GRH: 7.3425 TL Verify school attendance if applicable to the SNAP case. /Tx BMC Follow general provisions. "H`DH.~ "9H0:@X,r,bb{5 I& |##(9$L @/b Identity of the applicant and the authorized representative if the authorized representative is applying for the applicant. ! There are three variants; a typed, drawn or uploaded signature. For people in the Safe At Home Program, see 0029.29 (Safe At Home Program). 2023 Minnesota Department of Human Services, 0010.18.03 (Verifying Social Security Numbers), 0010.18.11.03 (Systematic Alien Verification (SAVE)), 0010.18.11 (Verifying Citizenship and Immigration Status), 0011.03.27 (Undocumented and Non-Immigrant People). 0028.06.12 (Who Is Exempt From SNAP Work Registration). _ ! endstream endobj 439 0 obj <>/Subtype/Form/Type/XObject>>stream GEN 280 Drug Felony Release form - This form is used to allow Economic Assistance to obtain information regarding drug test results. EMC See 0011.18 (Students). in general provisions in the 2nd bullet deletes reference to self-employment deductions and adds to verify self-employment expenses if applicable. endstream endobj 438 0 obj <>/Subtype/Form/Type/XObject>>stream Do not verify earned income of a caregiver under 20 who has verified they are enrolled at least half-time in an approved school. EMC DHS 5776-ENG Combined Six-Month Report Form for Medical Assistance and SNAPThis form is for clients who have a six-month renewal for health care eligibility or a six-month report for the Supplemental Nutrition Assistance Program (SNAP) due. Verification Forms: DHS-2146 Authorization for Release of Employment Information - This form is completed by an employer to verify employment start, stop, or wage change. Verify the exemptions listed below at application time and/or when a change occurs. Applying for MNsure Helpful Information - This document gives you step by step instructions for completing an online MNsure application. The participant's last day of employment was 01/13 and received the last check 1/13. endstream endobj 420 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Case Name: Case Number: 15. EDAK 0058B Start and Stop Verification . 0000006624 00000 n Document in MAXIS CASE/NOTEs the identity information obtained from SOLQ as a "Verify MN interface". (4) Tj /O 4 For more information, see 0028.30.09 (Refusing or Terminating Employment). If your child support, economic assistance (EA), or property tax paperwork involves a petition or claim to the Anoka County Attorney, those documents MUST be served on the County Attorney. EMC /Parent 1 0 R For budgeting information see 0022.03.01.03 (Prospective Budgeting - SNAP Provisions). 0 0 Td Please turn on JavaScript and try again. For non-mandatory verifications for SNAP, see 0010.18.02.03 (Non-Mandatory Verifications SNAP). /Contents 6 0 R Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. ET This program was suspended 12/1/14. EMC Social Security numbers of all people applying for assistance. endstream endobj 415 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream * 4. Use of the information collected based on this verification form is restricted to the purposes cited above. startxref for additional MFIP provisions relating to citizenship and immigration status. See 0011.24 (Time-limited SNAP Recipients) for more information on counted months used in another state. For all applicants give and verbally review during the interview: Give the forms below to all applicants. PARENT/GUARD. If there is not enough room on the form to answer a question, attach your own pages. f Verify only counted income. DHS-4034-ENG Minnesota's Diversionary Work Program Applications/Reporting DHS-3550-ENG Minnesota Child Care Assistance Application DHS-5223-ENG MDHS Combined Application Form DHS-2120-ENG Household Report Form DHS-3336-ENG Self-Employment Report Form DHS-2402-ENG Change Report Form Consent/Release DHS-2114-ENG MDHS Request for Medical Opinion H, Forms / Minnesota Department of Employment and Economic Development Home Programs and Services Dislocated Worker Program For Counselors and Service Providers Forms Forms Here we offer these frequently requested forms and tools. /Linearized 1 See 0010.15 (Verification - Inconsistent Information). The advanced tools of the editor will direct you through the editable PDF template. This is valid for 1 year or when I withdraw it in writing. Work verification is what employers conduct to see the work history and eligibility of both current and potential employees. /ExtGState << 0 0016 (Income from People Not in the Unit), Combined Six-Month Review (DHS-5576) (PDF), 0022.03.01.03 (Prospective Budgeting - SNAP Provisions), 0017.15.36 (Student Financial Aid Income), 0017.15.15 (Income of Minor Child/Caregiver Unde. for more information on counted months used in another state. /Size 38 If the injury/disability is expected to last indefinitely, verification is only needed once. Date and reason of employment termination, and date last paid. You may be trying to access this site from a secured browser on the server. 0000001233 00000 n endstream endobj 436 0 obj <>/Subtype/Form/Type/XObject>>stream f 0026.06 - NOTICE - APPROVAL OF APPLICATION OR RECERT. Tips on how to complete the Stop working form online: To get started on the form, use the Fill camp; Sign Online button or tick the preview image of the document. Follow the step-by-step instructions below to design your hennepin county household report form: Select the document you want to sign and click Upload. Work verification form (DOC) MFIP exemption - caring for a child under the age of 12 months; State. Fill out and return this form or your benefits may be late or stop. (4) Tj Use the Verification Request Form (DHS-2919) (PDF) to request needed verification. - Participants of Refugee Cash Assistance (RCA) when they are working with a Refugee Employment Services Provider. - A person subject to and complying with any Employment Services requirement for MFIP and/or DWP. SERV. If DHS does not provide a form for a given purpose, the county or tribe may develop their own form; however, the form must meet the requirements in TEMP Manual TE12.02.01 (County Designed Forms). 409 0 obj <> endobj Immigration status, ONLY if the applicant reports a non-citizen status, including non-citizens, naturalized and derived citizen status. Get the documents for Minnesota Employment verification you need with an user-interface developed for straightforwardness and organization. FAX: 612-321-3488. Document this verbal statement in CASE/NOTEs. See 0017.15.15 (Income of Minor Child/Caregiver Under 20). 0000001677 00000 n Go to the Department of Human Services' (DHS) e-Docs site and search for the form by entering the DHS form number. Q l(i`_Vh5F,mXB7sJK~A."ak&MaWtyB\"#upI7HD6 .Qpfv \#ba=Jzc0%FFA(=Z(pK4V:pT"#nQ $F_Mq~$\b7 .QpQ $FF#Lzup! MCRE #: Employer: I grant permission to the Employer listed to provide and verify the information requested on this form. % Verify the following for all programs: Inconsistent information. Put the particular date and place your e-signature. endstream endobj 433 0 obj <>/Subtype/Form/Type/XObject>>stream GEN 205 Emergency Programs Release Form - This form is used to allow Economic Assistance to contact landlords and utility companies in order to complete our Emergency Assistance or Emergency General Assistance application. endstream endobj 441 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 0000000025 00000 n Please seek professional legal advice if you are not sure this is the correct form for your situation. endstream endobj 421 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 0 0 9.96 9 re CASES, 0022.09 - WHEN TO SWITCH BUDGET CYCLES - CASH, 0022.09.03 - WHEN TO SWITCH BUDGET CYCLES - SNAP, 0022.12 - HOW TO CALC. SERVICES/SNAP E&T, 0028.06.12 - WHO IS EXEMPT FROM SNAP WORK REGISTRATION, 0028.09 - ES OVERVIEW/SNAP E&T ORIENTATION, 0028.09.06 - EXEMPTIONS FROM ES OVERVIEW/SNAP E&T ORIENTATION, 0028.18 - GOOD CAUSE FOR NON-COMPLIANCE--MFIP/DWP, 0028.18.01 - MFIP GOOD CAUSE--CAREGIVERS UNDER 20, 0028.21 - GOOD CAUSE NON-COMPLIANCE - SNAP/MSA/GA/GRH, 0028.30 - SANCTIONS FOR FAILURE TO COMPLY - CASH, 0028.30.03 - PRE 60-MONTH TYPE/LENGTH OF ES SANCTIONS, 0028.30.04 - POST 60-MONTH EMPL. 0000020677 00000 n << Click Done after twice-checking all the data. EDAK 0220Giving Permission for Someone to Act on My Behalf (Authorized Representative)Authorization form giving permission for someone to act on behalf of the client.EDAK 0031AInformed ConsentAuthorization form allowing release of information required for the determination of eligibility for assistance. Student course of study if attending a post-secondary institution. /Metadata 34 0 R Fill the blank areas; involved parties names, addresses and phone numbers etc. Q Verification of participation is required every 12 months or when there is a change in the clients participation, whichever comes first. 0000025750 00000 n /Tx BMC 1 1 9.04 9.4 re endstream endobj 414 0 obj <>/Subtype/Form/Type/XObject>>stream BT in SNAP deletes all policy about non-mandatory verifications and moves it to 0010.18.02.03 (Non-Mandatory Verifications SNAP) and adds a cross-reference to 0010.18.02.03 (Non-Mandatory Verifications SNAP). DHS 8107 Household Update Form - This form is for people currently open on Cash or SNAP programs that need to complete a review following the COVID emergency. stream 0026.12.12 - WHEN NOT TO GIVE ADDITIONAL NOTICE, 0026.12.15 - WHEN TO GIVE RETROACTIVE OR NO NOTICE, 0026.12.21 - VOLUNTARY REQUEST FOR CLOSURE NOTICE, 0026.15 - NOTICE OF DENIAL, TERMINATION, OR SUSPENSION, 0026.21 - NOTICE OF CHANGE IN ISSUANCE METHOD, 0026.24 - NOTICE OF RELATIVE CONTRIBUTION. Answer Yes or No to each question. /T 0000025941 endstream endobj 416 0 obj <>/Subtype/Form/Type/XObject>>stream W (4) Tj Verification is needed that the client is enrolled in the program and can be obtained by contacting your local resettlement agency. endstream endobj 434 0 obj <>/Subtype/Form/Type/XObject>>stream . This change was EFFECTIVE 02/01/16. You must verify that the client is complying with Refugee Employment Services. @ @3Nd&` ` xP /ProcSet [/PDF] EMC Registered unlicensed individuals, as part of renewing their registration, must provide verification of their employment by a licensed contractor or registered employer during the registration period. - This form is used to request a Certificate of Clearnace when the property was transferred by a Decree of Descent. GEN 335 General Assistance Advanced Age Form - This form is used to verify a person meets the advanced age guidelines for General Assistance. n q endstream endobj 424 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 12/2005 Termination of Employment Verification TO: RE: . - Unfit for Employment. H A verbal client statement indicating residency in Minnesota meets the verification requirement. 0026.06 - NOTICE - APPROVAL OF APPLICATION OR RECERT. - Refugees receiving the Matching Grant Program. in general provisions in the 2nd paragraph in the 3rd bullet adds and deletes information. name, student ID number, date of birth), we encourage you to submit the completed form by mail or in person. 02. If no other form of verification is available or if the client chooses to use a form to verify residence or shelter expenses, you may use the Authorization for Release of Information About Residence and Shelter Expenses (DHS-2952) (PDF). Counted TLR months used in another state. Stop Work Verification accap.org Details File Format PDF Size: 358 KB Download What Is a Work Verification Form? BT 0000006411 00000 n Employment start date: . 0010.18.02.03 (Non-Mandatory Verifications SNAP), 0010.15 (Verification Inconsistent Information), 0010.18.06 (Verifying Disability/Incapacity SNAP), 0010.18.02 - MANDATORY VERIFICATIONS - SNAP. CHECK THE BOX, sign and date on the backside. DHS 2402-ENG Change Report FormReporting form used by clients to report income, asset, and circumstance changes usually on a non-scheduled basis. The locations accepting paperwork including vehicle tab renewals, property tax documents, child support and economic assistance applications, and reporting forms are: Paperwork that CANNOT be accepted at drop boxes are documents related to legal service, litigation, or court matters. Select the link to download, print or save to your computer. 1 1 7.96 7 re If the exemptions are not listed below, they do not need to be verified unless questionable. See 0010.15 (Verification Inconsistent Information). The verification requirements are as follows: /Type /Catalog n If the form you need is not on this list, you can visit the Minnesota Department of Human Services website where you can search eDocs to find the form you need. 0000025773 00000 n /Resources 5 0 R The participant's last day of employment was 01/13 and received the last check 1/13. 5 0 obj /Tx BMC EMC 0 0 9.96 8.88 re endstream endobj 443 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Employment & Economic Assistance651-554-5611. SERVICES SANCTIONS, 0028.30.04.03 - POST 60-MONTH SANCTIONS: 2-PARENT PROVISIONS, 0028.30.06 - SANCTIONS FOR NOT MEETING SNAP WORK RULE, 0028.30.09 - REFUSING OR TERMINATING EMPLOYMENT, 0028.30.12 - SANCTION NOTICE FOR MINOR CAREGIVER, 0028.33 - EMPLOYMENT SERVICES/SNAP E&T NOTICE REQUIREMENTS, 0029.03.06 - FAMILY SUPPORT GRANT PROGRAM, 0029.03.09 - CONSUMER SUPPORT GRANT PROGRAM, 0029.03.18 - RELATIVE CUSTODY ASSISTANCE PROGRAM, 0029.06.03 - SUPPLEMENTAL SECURITY INCOME PROGRAM, 0029.06.06 - RETIREMENT, SURVIVORS AND DISABILITY INSURANCE, 0029.06.21 - UNITED STATES REPATRIATION PROGRAM, 0029.06.24.03 - TRIBAL TANF - MILLE LACS BAND OF OJIBWE, 0029.06.24.06 - TRIBAL TANF - RED LAKE BAND OF CHIPPEWA INDIANS, 0029.07.03 - MINNESOTA STATE FOOD BENEFITS, 0029.07.09 - WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM, 0029.07.12 - COMMODITY SUPPLEMENTAL FOOD PROGRAM, 0029.07.15 FOOD DISTRIBUTION PROGRAM-INDIAN RESERVATION, 0029.20.09 - FAMILY HOMELESS PREVENTION ASSISTANCE, 0029.27 - LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, 0029.31 - CHILD CARE RESOURCE AND REFERRAL, 0030.03.01.01 - INELIGIBLE FOR OTHER CASH PROGRAMS, 0030.03.09 - DETERMINING RCA GROSS INCOME, 0030.03.16 - PROCESSING REPORTED CHANGES - RCA, 0030.03.18 - RCA OVERPAYMENTS AND UNDERPAYMENTS, 0030.12.03 - RCA POST-SECONDARY EDUCATION/TRAINING, 0030.12.06 - RCA EMPLOYMENT SERVICES GOOD CAUSE CLAIMS. << in SNAP adds in the last paragraph that unless questionable, a verbal statement from the client meets the school attendance verification requirement. 0000025069 00000 n Q endstream Change the template with exclusive fillable fields. See 0010.18.06 (Verifying Disability/Incapacity SNAP). 2.2948 3.1191 Td endobj W 0000021946 00000 n If no other form of verification is available or if the client chooses to use a form to verify residence or shelter expenses, you may use the Authorization for Release of Information About Residence and . Authorization for release of information about residence and shelter expenses, DHS 2952. eDocs; Change report form, DHS 4794. eDocs Find the Stop Work Form Hennepin County you require. DHS 2338 Cooperation with Child Support EnforcementForm that client completes about cooperating with child support to receive public assistance. W EMC %PDF-1.5 DHS 3163B Referral to Support and CollectionsThis form is used by MinnesotaCare, Medical Assistance and Child Care Assistance recipients for referral to the local child support agency for the purpose of establishing paternity or child support enforcement services. in SNAP deletes to verify disability exemption from work registration. Truework allows you to complete employee, employment and income verifications faster. 1 1 7.96 6.88 re ET EMC /StructTreeRoot 32 0 R 0002.05 - GLOSSARY: ASSISTANCE STANDARD 0002.17 - GLOSSARY: DISPLACED HOMEMAKER 0002.41 - GLOSSARY: MEDICALLY NECESSARY 0003 - CLIENT RESPONSIBILITIES AND RIGHTS, 0003.03 - CLIENT RESPONSIBILITIES - GENERAL, 0003.06 - CLIENT RESPONSIBILITIES - QUALITY CONTROL, 0003.09.03 - CLIENT RIGHTS - CIVIL RIGHTS, 0003.09.06 - CLIENT RIGHTS - DATA PRIVACY PRACTICES, 0003.09.09 - CLIENT RIGHTS, PRIVATE AND CONFIDENTIAL DATA, 0003.09.12 - CLIENT RIGHTS - LIMITED ENGLISH PROFICIENCY, 0004.01 - EMERGENCIES - PROGRAM PROVISIONS, 0004.03 - EMERGENCY AID ELIGIBILITY - CASH ASSISTANCE, 0004.04 - EMERGENCY AID ELIGIBILITY--SNAP/EXPEDITED FOOD, 0004.06 - EMERGENCIES - 1ST MONTH PROCESSING, 0004.09 - EMERGENCIES - 2ND AND 3RD MONTH PROCESSING, 0004.12 - VERIFICATION REQUIREMENTS FOR EMERGENCY AID, 0004.15 - EMERGENCIES - POSTPONED VERIFICATION NOTICE, 0004.18 - DETERMINING THE AMOUNT OF EMERGENCY AID, 0004.48 - DESTITUTE UNITS--MIGRANT/SEASONAL FARMWORKER, 0004.51 - DESTITUTE UNITS, ELIGIBILITY AND BENEFITS, 0005.06.03 - WHO CAN/CANNOT BE AUTHORIZED REPRESENTATIVES, 0005.06.06 - DISQUALIFYING AUTHORIZED REPRESENTATIVES, 0005.09 - COMBINED APPLICATION FORM (CAF), 0005.09.03 - WHEN PEOPLE MUST COMPLETE AN APPLICATION, 0005.09.06 - WHEN NOT TO REQUIRE COMPLETION OF AN APPLICATION, 0005.09.09 - WHEN TO USE AN ADDENDUM TO AN APPLICATION, 0005.09.15 - EMERGENCY ASSISTANCE AND APPLICATIONS, 0005.10 - MINNESOTA TRANSITION APPLICATION FORM (MTAF), 0005.12 - ACCEPTING AND PROCESSING APPLICATIONS, 0005.12.03 - WHAT IS A COMPLETE APPLICATION, 0005.12.12.01 - FORMS/HANDOUTS FOR APPLICANTS, 0005.12.12.06 - ORIENTATION TO FINANCIAL SERVICES, 0005.12.12.09 - FAMILY VIOLENCE PROVISIONS/REFERRALS, 0005.12.15 - APPLICATION PROCESSING STANDARDS, 0005.12.15.01 - PROCESSING SNAP APPLICATION NON-MANDATORY VERIFICATION, 0005.12.15.03 - DELAYS IN PROCESSING APPLICATIONS, 0005.12.15.06 - DETERMINING WHO CAUSED THE DELAY, 0005.12.15.09 - DELAYS CAUSED BY THE APPLICANT HOUSEHOLD, 0005.12.15.12 - DELAYS CAUSED BY THE AGENCY, 0005.12.15.15 - DELAYS CAUSED BY THE AGENCY AND APPLICANT, 0005.12.21 - REINSTATING A WITHDRAWN APPLICATION, 06 - DETERMINING FINANCIAL RESPONSIBILITY, 0006 - DETERMINING FINANCIAL RESPONSIBILITY, 0006.06 - MOVING BETWEEN COUNTIES - PARTICIPANTS, 0006.09 - MOVING BETWEEN COUNTIES - MINOR CHILDREN, 0006.12 - ASSISTANCE TERMINATED WITHIN LAST 30 DAYS, 0006.15 - MULTIPLE COUNTY FINANCIAL RESPONSIBILITY, 0006.18 - EXCLUDED TIME FACILITIES AND SERVICES, 0006.21 - TRANSFERRING RESPONSIBILITY - OLD COUNTY, 0006.24 - TRANSFERRING RESPONSIBILITY - NEW COUNTY, 0006.27 - COUNTY FINANCIAL RESPONSIBILITY DISPUTES, 0006.30 - STATE FINANCIAL RESPONSIBILITY DISPUTES, 0007.03.01 - MONTHLY REPORTING - UNCLE HARRY FS, 0007.03.04 - SIX-MONTH REPORTING DEADLINES, 0007.03.07 - PROCESSING A LATE COMBINED SIX-MONTH REPORT, 0007.12 - AGENCY RESPONSIBILITIES FOR CLIENT REPORTING, 0007.15 - UNSCHEDULED REPORTING OF CHANGES - CASH, 0007.15.03 - UNSCHEDULED REPORTING OF CHANGES - SNAP, 0008.03 - CHANGES - OBTAINING INFORMATION, 0008.06 - IMPLEMENTING CHANGES - GENERAL PROVISIONS, 0008.06.01 - IMPLEMENTING CHANGES - PROGRAM PROVISIONS, 0008.06.03 - CHANGE IN BASIS OF ELIGIBILITY, 0008.06.06 - ADDING A PERSON TO THE UNIT - CASH, 0008.06.07 - ADDING A PERSON TO THE UNIT - SNAP, 0008.06.09 - REMOVING A PERSON FROM THE UNIT, 0008.06.12.09 - CONVERTING A PREGNANT WOMAN CASE, 0008.06.15 - REMOVING OR RECALCULATING INCOME, 0008.06.21 - CHANGE IN COUNTY OF RESIDENCE, 0008.06.24 - DWP CONVERSION OR REFERRAL TO MFIP, 0009.03 - LENGTH OF RECERTIFICATION PERIODS, 0009.03.03 - WHEN TO ADJUST THE LENGTH OF CERTIFICATION, 0009.06.03 - RECERTIFICATION PROCESSING STANDARDS, 0009.06.03.03 - PROCESSING SNAP RECERTIFICATION NON-MANDATORY VERIFICATION, 0010.03 - VERIFICATION - COOPERATION AND CONSENT, 0010.06 - SOURCES OF VERIFICATION - DOCUMENTS, 0010.09 - SOURCES OF VERIFICATION, COLLATERAL CONTACTS, 0010.12 - SOURCES OF VERIFICATION - HOME VISITS, 0010.15 - VERIFICATION - INCONSISTENT INFORMATION, 0010.18.01 - MANDATORY VERIFICATIONS - CASH ASSISTANCE, 0010.18.02 - MANDATORY VERIFICATIONS - SNAP, 0010.18.02.03 - NON-MANDATORY VERIFICATIONS - SNAP, 0010.18.03 - VERIFYING SOCIAL SECURITY NUMBERS, 0010.18.03.03 - VERIFYING SOCIAL SECURITY NUMBERS - NEWBORNS, 0010.18.05 - VERIFYING DISABILITY/INCAPACITY - CASH, 0010.18.06 - VERIFYING DISABILITY/INCAPACITY - SNAP, 0010.18.08 - VERIFYING STATE RESIDENCE - CASH, 0010.18.09 - VERIFYING SELF-EMPLOYMENT INCOME, 0010.18.11 - VERIFYING CITIZENSHIP AND IMMIGRATION STATUS, 0010.18.11.03 - SYSTEMATIC ALIEN VERIFICATION (SAVE), 0010.18.12 - VERIFYING LAWFUL TEMPORARY RESIDENCE, 0010.18.15 - VERIFYING LAWFUL PERMANENT RESIDENCE, 0010.18.15.03 - LAWFUL PERMANENT RESIDENT: USCIS CLASS CODES, 0010.18.15.06 - VERIFYING SOCIAL SECURITY CREDITS, 0010.18.18 - VERIFYING SPONSOR INFORMATION, 0010.18.21 - IDENTIFY NON-IMMIGRANT OR UNDOCUMENTED PEOPLE, 0010.18.21.03 - NON-IMMIGRANT PEOPLE: USCIS CLASS CODES, 0010.18.30 - VERIFYING STUDENT INCOME AND EXPENSES, 0010.24 - INCOME AND ELIGIBILITY VERIFICATION SYSTEM, 0010.24.03 - IEVS MATCH TYPE AND FREQUENCY, 0010.24.09 - PROCESSING IEVS MATCHES TIMELY, 0010.24.12 - DETERMINING IEVS EFFECT ON ELIGIBILITY, 0010.24.15 - RECORDING IEVS RESOLUTION FINDINGS, 0010.24.18 - CLIENT COOPERATION WITH IEVS, 0010.24.21 - IEVS SAFEGUARDING RESPONSIBILITIES, 0010.24.24 - IEVS NON-DISCLOSURE AND EMPLOYEE AWARENESS, 0011.03 - CITIZENSHIP AND IMMIGRATION STATUS, 0011.03.03 - NON-CITIZENS - MFIP/DWP CASH, 0011.03.06 - NON-CITIZENS - MFIP FOOD PORTION, 0011.03.09 - NON-CITIZENS - SNAP/MSA/GA/GRH, 0011.03.12 - NON-CITIZENS - LAWFUL PERMANENT RESIDENTS, 0011.03.12.03 - NON-CITIZENS - ADJUSTMENT OF STATUS, 0011.03.15 - NON-CITIZENS - LPR WITH SPONSORS, 0011.03.17 - NON-CITIZENS - PUBLIC CHARGE, 0011.03.18 - NON-CITIZENS - PEOPLE FLEEING PERSECUTION, 0011.03.21 - NON-CITIZENS - VICTIMS OF BATTERY/CRUELTY, 0011.03.24 - NON-CITIZENS - LAWFULLY RESIDING PEOPLE, 0011.03.27 - UNDOCUMENTED AND NON-IMMIGRANT PEOPLE, 0011.03.27.01 - NON-CITIZENS - CITIZENS OF PALAU, THE FEDERATED STATES OF MICRONESIA, AND THE REPUBLIC OF THE MARSHALL ISLANDS, 0011.03.27.03 - PROTOCOLS FOR REPORTING UNDOCUMENTED PEOPLE, 0011.03.30 - NON-CITIZENS - TRAFFICKING VICTIMS, 0011.03.33 - NON-CITIZENS - IMMIGRATION COURT ORDERS, 0011.06.03 - STATE RESIDENCE - EXCLUDED TIME, 0011.06.06 - STATE RESIDENCE - INTERSTATE PLACEMENTS, 0011.06.09 - STATE RESIDENCE - 30-DAY REQUIREMENT, 0011.12.01 - DRUG ADDICTION OR ALCOHOL TREATMENT FACILITY, 0011.12.03 - UNDER CONTROL OF THE PENAL SYSTEM, 0011.30.06 - 180 TO 60 DAYS BEFORE MFIP CLOSES, 0011.33.02 - MFIP HARDSHIP EXTENSIONS - REMOVING 1 PARENT, 0011.33.03 - MFIP EMPLOYED EXTENSION CATEGORY, 0011.33.03.03 - LIMITED WORK DUE TO ILLNESS/DISABILITY, 0011.33.06 - MFIP HARD TO EMPLOY EXTENSION CATEGORY, 0011.33.09 - MFIP ILL/INCAPACITATED EXTENSION CATEGORY, 0012.06 - REQUIREMENTS FOR CAREGIVERS UNDER 20, 0012.12.03 - INTERIM ASSISTANCE AGREEMENTS, 0012.12.06 - SPECIAL SERVICES - APPLYING FOR SOCIAL SECURITY, 0012.15 - INCAPACITY AND DISABILITY DETERMINATIONS, 0012.15.03 - MEDICAL IMPROVEMENT NOT EXPECTED (MINE) LIST, 0012.15.06 - STATE MEDICAL REVIEW TEAM (SMRT), 0012.15.06.03 - SMRT - SPECIFIC PROGRAM REQUIREMENTS, 0012.21 - RESPONSIBLE RELATIVES NOT IN THE HOME, 0012.21.03 - SUPPORT FROM NON-CUSTODIAL PARENTS, 0012.21.06 - CHILD SUPPORT GOOD CAUSE EXEMPTIONS, 0013.03.03 - PREGNANT WOMAN BASIS - MFIP/DWP, 0013.03.06 - MFIP BASIS - STATE-FUNDED CASH PORTION, 0013.06 - SNAP CATEGORICAL ELIGIBILITY/INELIGIBILITY, 0013.09.09 - MSA BASIS - DISABLED AGE 18 AND OLDER, 0013.15.03 - GA BASIS - PERMANENT ILLNESS, 0013.15.06 - GA BASIS - TEMPORARY ILLNESS, 0013.15.09 - GA BASIS - CARING FOR ANOTHER PERSON, 0013.15.12 - GA BASIS - PLACEMENT IN A FACILITY, 0013.15.27 - GA BASIS, SSD/SSI APPLICATION/APPEAL PENDING, 0013.15.33 - GA BASIS - DISPLACED HOMEMAKERS, 0013.15.39 - GA BASIS - PERFORMING COURT ORDERED SERVICES, 0013.15.42 - GA BASIS - LEARNING DISABLED, 0013.15.48 - GA BASIS - ENGLISH NOT PRIMARY LANGUAGE, 0013.15.51 - GA BASIS - PEOPLE UNDER AGE 18, 0013.15.54 - GA BASIS - DRUG/ALCOHOL ADDICTION, 0013.18.09 - GRH BASIS - DISABLED AGE 18 AND OLDER, 0013.18.12 - GRH BASIS - REQUIRES SERVICE IN RESIDENCE, 0013.18.15 - GRH BASIS - PERMANENT ILLNESS, 0013.18.18 - GRH BASIS - TEMPORARY ILLNESS, 0013.18.27 - GRH BASIS - SSD/SSI APPL/APPEAL PEND, 0013.18.33 - GRH BASIS - LEARNING DISABLED, 0013.18.36 - GRH BASIS - DRUG/ALCOHOL ADDICTION, 0013.18.39 - GRH BASIS - TRANSITION FROM RESIDENTIAL TREATMENT, 0014.03 - DETERMINING THE ASSISTANCE UNIT, 0014.03.03 - DETERMINING THE CASH ASSISTANCE UNIT, 0014.03.03.03 - OPTING OUT OF MFIP CASH PORTION, 0014.06 - WHO MUST BE EXCLUDED FROM ASSISTANCE UNIT, 0014.09 - ASSISTANCE UNITS - TEMPORARY ABSENCE, 0014.12 - UNITS FOR PEOPLE WITH MULTIPLE RESIDENCES, 0015.06.03 - AVAILABILITY OF ASSETS WITH MULTIPLE OWNERS, 0015.30 - ASSETS - PAYMENTS UNDER FEDERAL LAW, 0015.48.03 - WHOSE ASSETS TO CONSIDER - SPONSORS W/I-864, 0015.48.06 - WHOSE ASSETS TO CONSIDER - SPONSORS W/I-134, 0015.63 - EVALUATION OF PENSION AND RETIREMENT PLANS, 0015.69.03 - ASSET TRANSFERS FROM SPOUSE TO SPOUSE, 0015.69.09 - IMPROPER TRANSFER INELIGIBILITY, 0015.69.12 - IMPROPER TRANSFERS - ONSET OF INELIGIBILITY, 0016 - INCOME FROM PEOPLE NOT IN THE UNIT, 0016.03 - INCOME FROM DISQUALIFIED UNIT MEMBERS, 0016.06 - INCOME FROM INELIGIBLE SPOUSE OF UNIT MEMBER, 0016.09 - INCOME FROM INELIGIBLE STEPPARENTS, 0016.12 - INCOME FROM PARENTS OF ADULT GA CHILDREN, 0016.18 - INCOME OF INEL.
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