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State Form 4336 VOLUNTARY REMEDIATION PROGRAM DEPARTMENT OF ENVIRONMENTAL MANAGEMENT PROJECT SUMMARY Site name Applicant Name Site location VRP Site No. Project Manager Date received Date completed Contaminant s Media addressed Cleanup Objectives Achieved Deed/Land use restrictions Omite Manufacturing Memcor-Truohm Inc. 1320 Flaxmill Road Huntington Indiana 6980303 Richard Harris March 20 1998 April 28 2003 VOC s Surface and Subsurface Soil VRP T...
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How to fill out DHS 4336:
01
Gather necessary information: Before filling out DHS 4336, make sure to collect all the required information, such as personal details, employment information, financial status, and any supporting documentation.
02
Complete the personal information section: Begin by filling out the personal information section of DHS 4336. This may include your name, address, contact details, and social security number. Fill in all the required fields accurately and legibly.
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Provide employment details: If applicable, include your current employment details, such as your employer's name, address, and contact information. Additionally, mention your job title, duration of employment, and monthly income. Fill in any other relevant employment information as required.
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Report financial information: DHS 4336 might require you to disclose your financial status. This includes information about your income, assets, expenses, debts, and financial resources. Provide accurate and up-to-date information about all these aspects.
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Attach supporting documentation: Ensure that you attach any necessary supporting documents mentioned in DHS 4336. This may include pay stubs, bank statements, tax returns, or any other supporting evidence that verifies the information provided.
Who needs DHS 4336:
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Individuals applying for certain government assistance programs, such as Medicaid, SNAP (Supplemental Nutrition Assistance Program), or TANF (Temporary Assistance for Needy Families) may require DHS 4336. It is a common form used to evaluate eligibility for these programs.
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Applicants for certain types of financial aid or scholarships might also need to complete DHS 4336. These programs often require a thorough assessment of the applicant's financial situation to determine their eligibility.
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Individuals seeking assistance or benefits from other government agencies or organizations may also be required to fill out DHS 4336. It serves as a means to collect necessary information for assessing their eligibility and providing adequate support.
Note: The specific individuals or organizations that require DHS 4336 may vary depending on the jurisdiction and the specific program or benefit being applied for. It is always advisable to consult the relevant authorities or agency to confirm the necessity of filling out DHS 4336.
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What is dhs 4336?
DHS 4336 is a form used by the U.S. Department of Homeland Security to collect information about individuals who are applying for, renewing, or replacing their Permanent Resident Card (Green Card).
Who is required to file dhs 4336?
Anyone who is applying for, renewing, or replacing their Permanent Resident Card (Green Card) is required to file DHS 4336.
How to fill out dhs 4336?
To fill out DHS 4336, you need to provide information about your personal details, immigration status, and biographical information. The form can be completed online or by filling out a physical copy and mailing it to the appropriate address.
What is the purpose of dhs 4336?
The purpose of DHS 4336 is to gather the necessary information to determine an individual's eligibility for a Permanent Resident Card (Green Card) in the United States.
What information must be reported on dhs 4336?
DHS 4336 requires information such as full name, date of birth, country of birth, immigration status, passport details, marital status, employment history, and criminal records (if applicable). Additional documents may be required to support the information provided.
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