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The following list includes the most commonly requested forms. 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. 0
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Verification is needed that the client is enrolled in the program and can be obtained by contacting your local resettlement agency. q See 0010.18.01 (Mandatory Verifications - Cash Assistance). 1 1 7.96 7 re 02. 2.8541 2.7388 Td The participant's last day of employment was 01/13 and received the last check 1/13. - Receiving or applying for Unemployment Insurance (UI) and are cooperating with the work requirements. /S 38
12/2005 Termination of Employment Verification TO: RE: . /Tx BMC You must also verify some eligibility factors monthly, at recertification, or when changes occur. Open it up using the cloud-based editor and begin altering. All Section 8 Forms Applicants Participants Property Owners %PDF-1.6
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US Legal Forms is definitely the industry leader in affordable access to state-specific form templates. EMC ET 3 0 obj
Verifiers love Truework because it's never been easier and more streamlined to verify an employee, learn more here. BT >
in SNAP deletes to verify disability exemption from work registration. 2 36
3) Workforce and Utilization Analysis. Termination of Employment Verification - Section 8/236 Rev. <1b285431b6d97f0b3d25c629171a4448>]
You must verify that the client is cooperating with the work requirements of this program. 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 . Q /ZaDb 7.6247 Tf W Student course of study if attending a post-secondary institution.
Decide on what kind of signature to create. It looks like your browser does not have JavaScript enabled. /T 0000025941
Click on the form to complete and print. @4z$]aAhBK503Ix7$&xv;le|Jn+TjeP-4TS Z
DHS 3543 Request for Payment of Long Term Care Services - This form is for people currently open on Medical Assistance (MA) that need waiver services, assisted living services, or nursing home services paid. GEN 262 Special Diets - This form is used to provide information regarding diets prescribed by a doctor. Fill the blank areas; involved parties names, addresses and phone numbers etc. You may also mail any paperwork to our mailing address listed on this page. 1300.0170 STOP WORK ORDER. AE>-l`.X~JpRMcOxr69_vW61#
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in SNAP deletes all previous provisions and new provisions. It also in the 4th paragraph adds tribe language. Create your signature and click Ok. Press Done. /Resources 5 0 R
Verify the following for all programs: Inconsistent information. Each form includes instructions about where and how to turn it in. 0000000025 00000 n
EMC No policy was changed. Financial aid information from students attending post-secondary institutions. This program was suspended 12/1/14. In the first, the county agency received a stop - work verification on 4/13. Follow general provisions. Residency in Minnesota, unless verification cannot be obtained because the people are homeless, migrant farmworkers, or newly arrived in Minnesota. DHS 5223C-ENG Combined Application Addendum (Supplemental Nutrition Assistance Program, Cash Assistance, and Health Care Programs)This is an addendum to the Combined Application Form and is used for adding people to existing MFIP and GA assistance units after the initial application has been processed.
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See all sections of 0016 (Income from People Not in the Unit), 0017 (Determining Gross Income) for more information. /F1 10 0 R
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W 0028.06.12 (Who Is Exempt From SNAP Work Registration). .lG%12 For people in the Safe At Home Program, see 0029.29 (Safe At Home Program). Please see your child support/EA paperwork for service by mail directions regarding legal proceedings. 0 0 Td If the building official finds any work regulated by the code being performed in a manner contrary to the provisions of the code or in a dangerous or unsafe manner, the building official is authorized to issue a stop work order or a notice or order pursuant to part 1300.0110, subpart 4.. startxref
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Email us at compliance.mdhr@state.mn.us or call 651-539-1095. H$ - This form is used to request a Certificate of Clearnace when the property was transferred by a Decree of Descent. The participant's last day of employment was 01/13 and received the last check 1/13. endobj
name, student ID number, date of birth), we encourage you to submit the completed form by mail or in person. . >>
Below is a list of frequently requested Human services forms. n GEN 260 Sponsor Release of Information - This form is used to allow Economic Assistance to communicate with the client's sponsor. 409 0 obj
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l(i`_Vh5F,mXB7sJK~A."ak&MaWtyB\"#upI7HD6 .Qpfv \#ba=Jzc0%FFA(=Z(pK4V:pT"#nQ $F_Mq~$\b7 .QpQ $FF#Lzup! 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.
0.749023 g Immigration status, ONLY if the applicant reports a non-citizen status, including non-citizens, naturalized and derived citizen status. QD~bJmb}`!lsUJ3>11g.x z;eY#\.
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! q Additional State forms can be found at: Minnesota Department of Human Services Website, Documents can be submitted to the Economic Assistance Document Upload Portal Here, Instructions for using the portal can be found Here. /Outlines 33 0 R
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). Identity may be verified through a document, or if a document is not available a collateral contact can be used. endstream
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- Medically certified as pregnant. EDAK 0058BEmployment Start and Stop Verification Authorization form allowing release of employment information required for the determination of eligibility for assistance.EDAK 3239Taxi/Limo Driver Income and Expense ReportReport used by participants who are self-employed to report income and expenses each month.
Verify the exemptions listed below at application time and/or when a change occurs. iin SNAP adds to document in MAXIS CASE/NOTEs the identity information obtained from SOLQ as a "Verify MN interface" for clarity. 0000024944 00000 n
in SNAP under sub-heading ABAWDs in the 3rd bullet adds and deletes language and cross-references for clarity. 0000019304 00000 n
for more information on counted months used in another state. >>
Employment and Earnings Statement. Use of the information collected based on this verification form is restricted to the purposes cited above. 2) Affirmative Action Plan. Go to the Department of Human Services' (DHS) e-Docs site and search for the form by entering the DHS form number. See 0010.18.06 (Verifying Disability/Incapacity SNAP). /Marked true
For all applicants give and verbally review during the interview: Give the forms below to all applicants. If the exemptions are not listed below, they do not need to be verified unless questionable. The participant's last day of employment was 01/13 and received the last check 1/13. 0026.06 - NOTICE - APPROVAL OF APPLICATION OR RECERT. DHS 2952-ENG Authorization for Release of Information about Residence and Shelter ExpenseAuthorization form allowing release of residence and shelter expense information required for the determination of eligibility for human service programs. Also see 0010.18.01 (Mandatory Verifications - Cash Assistance) for additional MFIP provisions relating to citizenship and immigration status. Note: Do not request further verification of income if the unit reports no change in income on their Combined Six-Month Review (DHS-5576) (PDF). - Refugees receiving the Matching Grant Program. If there is student income, also give the Financial Aid Information Form (DHS-2646) (PDF). STOP HERE. MCC Recipient Notice - Instructions for getting reimbursed for Medical Transportation, MCC Trip Log 2020-2021 - Record your trips used for Medical Appointments. See 0017.15.36 (Student Financial Aid Income).
It also adds appropriate cross-references. stream
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DHS 3336-ENG Self-Employment Report FormReport used by participants who are self-employed to report income and expenses each month. H BT in general provisions updates the name and hyperlink for the Verification Request Form (DHS-2919). breaks MFIP, DWP into their own provisions and adds when not to request verification of school attendance. Change the template with exclusive fillable fields. endstream
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Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Minnesota Department of Labor & Industry Construction Codes and Licensing Division Licensing and Certification Services 443 Lafayette Road North St. Paul, MN 55155 Mailing Address: PO Box 64217 St. Paul, MN 55164-0217 Phone: 651.284.5031 Email: dli.exam@state.mn.us Web site: www.dli.mn.gov .
This information can be obtained from the client's Employment Services Provider. Return this form no . ET /MediaBox [0 0 612 792]
PARENT/GUARD. 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). 0000022117 00000 n
2.7962 2.7525 Td You must verify that the client is complying with Refugee Employment Services. Minnesota Employment Verification Form Use a minnesota employment verification template to make your document workflow more streamlined. 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. Verify additional eligibility factors required by each program as noted in the specific program provisions in 0004.12 (Verification Requirements for Emergency Aid), 0010.18.01 (Mandatory Verifications - Cash Assistance), 0010.18.02 (Mandatory Verifications - SNAP).
Some Spanish forms are also available. 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. 4.9716 TL 0000005978 00000 n
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Verify the exemptions listed below at application time and/or when a change occurs. /Tx BMC (4) Tj GEN 262 Special Diets - This form is used to provide information regarding diets prescribed by a doctor. Verify SNAP has closed in another state when the client has moved from another state and reports receiving SNAP in the other state. 0000021550 00000 n
/Tx BMC Work Experience Verification Form Minnesota Department of Labor and Industry Construction Codes and Licensing Division 443 Lafayette Road North PO Box 64217 St. Paul, MN 55164-0217 Phone: 651.284.5031 Email: dli.exam@state.mn.us Web site: www.dli.mn.gov PRINT clearly IN INK OR TYPE See 0017.15.15 (Income of Minor Child/Caregiver Under 20). Please enable scripts and reload this page. You do not have to sign this form if either the requesting organization or the organization supplying the information is left blank. <<
SERV. 2.7962 2.7525 Td 1. Applying for MNsure Helpful Information - This document gives you step by step instructions for completing an online MNsure application. <<
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Document in MAXIS CASE/NOTEs the identity information obtained from SOLQ as a "Verify MN interface". 4.9716 TL endstream
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Any person who knowingly or willingly requests, obtains, or discloses any information under false pretenses concerning an applicant or participant may be subject to a misdemeanor and fined not more than . Put the particular date and place your e-signature. It can also be used but is not required for collecting information on people added to the Supplemental Nutrition Assistance Program (SNAP) or a Minnesota health care program. 0 0 9.96 8.88 re endstream
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DHS 2952 Authorization for Release of Information About Residence and Shelter Expenses - This form is used to allow a landlord or homeowner information about your shelter expense. Authorization for release of information about residence and shelter expenses, DHS 2952. eDocs; Change report form, DHS 4794. eDocs ET See 0017.15.15 (Income of Minor Child/Caregiver Under 20). If the exemptions are not listed below, they do not need to be verified unless questionable. in general provisions in the 2nd bullet deletes reference to self-employment deductions and adds to verify self-employment expenses if applicable. endstream
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/Tx BMC Employment Verification Form 1/ . >>
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Use the Verification Request Form (DHS-2919) (PDF) to request needed verification. Share your form with others Send it via email, link, or fax. 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. The advanced tools of the editor will direct you through the editable PDF template. - Participating regularly in a drug addiction or alcohol treatment and rehabilitation program. >>
Counted TLR months used in another state. It also adds a new last paragraph with verification requirements. There are many types and sources of income that need to be considered and verified for the SNAP assistance unit including, but not limited to, ineligible mandatory unit members, sponsors income and income from people not in the unit. Questions about legal documents can be directed to the County Attorneys Office: 763-324-5550. See 0010.18.03 (Verifying Social Security Numbers). CC0100 Plumbing Work Experience Form. Work verification is what employers conduct to see the work history and eligibility of both current and potential employees. In the first, the county agency received a stop - work verification on 4/13. See 0010.15 (Verification Inconsistent Information). The way to fill out the DSS stop work form online: To get started on the blank, use the Fill camp; Sign Online button or tick the preview image of the document. /StructTreeRoot 32 0 R
in SNAP adds in the last paragraph that unless questionable, a verbal statement from the client meets the school attendance verification requirement. 0000001409 00000 n
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BT Verification is needed when a client is injured/incapacitated and the injury cannot be observed. Set yourself up for success and utilize the online library to download samples and turn them into .
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Disability status may be need to be verified. "Verify MN" is another name for the area within SOLQ that provides Social Security information. 1 1 9.04 9.4 re 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. 0000007708 00000 n
DHS 6165A Application for Certificate of Clearance for Medical Assistance Claims - Decree of Descent (PDF)Opens a New Window. 0000020677 00000 n
Do not verify earned income of a child age 6 or older who has verified they are enrolled in school full-time in elementary, secondary, or GED. Residency in Minnesota, unless verification cannot be obtained because the people are homeless, migrant farmworkers, or newly arrived in Minnesota. 0000001677 00000 n
EMC 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. DHS 3418-ENG Minnesota Health Care Programs Renewal Form Document this verbal statement in CASE/NOTEs. . Do not run a Systematic Alien Verifications for Entitlements (SAVE) report unless you have determined that the applicant meets all other program requirements and the client would be eligible for benefits if the immigration status requirement is met.
Hennepin County
EMC
H Document this verbal statement in CASE/NOTEs. 2.7962 2.7525 Td EMC DHS 5576 Combined Six Month Report - This form is for people currently open on Cash, SNAP, or Healthcare that are required to complete a six month review. %%EOF
Items required to be verified at application, recertification and when changes occur are listed below. 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). /OutputIntents [31 0 R]
2023 Minnesota Department of Human Services, 0007.15 (Unscheduled Reporting of Changes - Cash), Verification Request Form (DHS-2919) (PDF), 0010.15 (Verification - Inconsistent Information), 0010.18.11 (Verifying Citizenship and Immigration Status), 0010.18.11.03 (Systematic Alien Verification (SAVE)), 0011.03.27 (Undocumented and Non-Immigrant People), (Mandatory Verifications - Cash Assistance). 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, 0010.18.02.03 - 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.