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MI DHS-PUB-1010 2012 free printable template

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KEEP THIS BOOKLET FOR YOUR RECORDS Assistance Application Information Booklet Welcome to the State of Michigan Department of Human Services (DHS) We have programs to help you and/or your household
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How to fill out MI DHS-PUB-1010

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How to fill out MI DHS-PUB-1010

01
Obtain the MI DHS-PUB-1010 form from the Michigan Department of Health and Human Services website or local office.
02
Fill out your personal information at the top of the form, including your name, address, and contact information.
03
Provide information about your household members, including names and dates of birth.
04
Indicate your income sources by filling in the appropriate sections regarding employment, benefits, and any other income.
05
Detail your expenses by providing information about housing costs, utilities, and other necessary expenditures.
06
Review your application to ensure all information is accurate and complete.
07
Sign and date the form before submission.
08
Submit the form via mail or in person to your local DHS office.

Who needs MI DHS-PUB-1010?

01
Individuals and families seeking assistance with food, healthcare, or other social services in Michigan.
02
People applying for state assistance programs, such as Medicaid or food assistance.
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People Also Ask about

MDHHS services include: food assistance, cash assistance, child care, medical assistance, home weatherization, utility assistance, burial services, child support, foster care and adoption, abuse and neglect.
The total MDHHS/PATH program cost of repairs may not exceed $900 including any repairs done in the previous 12 months. Clients may contribute any amount over $900 prior to MDHHS payment. roadworthy including new tires, headlamps, batteries, etc.
Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. Information on the Food Assistance Program, eligibility requirements, and other food resources.
Elizabeth Hertel is the Director of the Michigan Department of Health and Human Services (MDHHS).
You may use the DHS-2240, Change Report Form, to report changes to your specialist. If you choose this method you must answer all questions on the form for everyone in your household. If any questions do not apply to your household situation, answer the question N/A, not applicable.
Michigan Department of Health & Human Services. Offers programs for Michigan residents to help with temporary assistance including cash assistance, child care, children's special health care, emergency relief, food assistance, health care coverage, housing and homeless services, and more.

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MI DHS-PUB-1010 is a form used by the Michigan Department of Health and Human Services to gather information for specific program eligibility and reporting purposes.
Individuals who are applying for or currently receiving certain benefits or assistance from the Michigan Department of Health and Human Services are required to file MI DHS-PUB-1010.
To fill out MI DHS-PUB-1010, applicants should provide accurate personal information, details regarding their household income, and any other required documentation as specified in the form instructions.
The purpose of MI DHS-PUB-1010 is to collect essential information to determine eligibility for various welfare programs and to ensure compliance with state regulations.
Information that must be reported on MI DHS-PUB-1010 includes personal identification details, household composition, income sources, and any other relevant financial or demographic information.
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