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Date: caseworkers/Team: CLIENT INFORMATION SHEET ST. ELIZABETH OF HUNGARY CONFERENCE # Assisted: Total Amt: Type of Assistance: Twinning: Name: # Hours: In Kind or Miles: Social Security No: XXXIX
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Start by entering your personal information, such as your name, address, phone number, and email address. Make sure to write legibly and provide accurate information.
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Next, indicate your household size by including the number of adults and children living in your household. This information helps determine your eligibility for certain services.
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Provide details about your income, including any wages, government assistance, or other sources of income. This information is crucial in assessing your financial needs and determining the assistance you may qualify for.
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Specify any assets you may have, such as a vehicle, property, or savings account. This information can assist in evaluating your overall financial situation and eligibility for certain programs.
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Be thorough when answering questions about your expenses, including housing, utilities, transportation, and healthcare costs. Be honest and provide accurate figures to help the organization understand your financial burdens.
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Describe any special circumstances or hardships you may be experiencing, such as job loss, medical issues, or unexpected expenses. This additional information can help the organization understand your specific needs and provide appropriate assistance.
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SESVDP - Client Intake Form 2015 is a form used for intake of clients participating in the Streamlined Domestic Offshore Procedures program.
Individuals with undisclosed foreign financial assets who are seeking to come into compliance with U.S. tax laws.
The form must be completed with accurate information regarding the client's foreign financial assets and any income derived from those assets.
The purpose of the form is to gather necessary information for individuals to disclose their foreign financial assets and income for tax compliance purposes.
Information regarding the client's foreign financial accounts, income generated from those accounts, and any other relevant financial information.
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