DHS-8A 2009-2025 free printable template

Name: Fillable Online DHS-0008A Irrevocable Funeral Contract Certification DHS-0008A Irrevocable Funeral Contract Certification Fax Email Print - pdfFiller
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IRREVOCABLE FUNERAL CONTRACT CERTIFICATION DHS USE ONLY Grantee Name Michigan Department of Human Services AUTHORITY: P.A. 255 OF 1986. COMPLETION: Voluntary PENALTY: Possible ineligibility for assistance

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How to fill out DHS-8A

01

Obtain a blank DHS-8A form from the appropriate authority or download it from the official website.

02

Fill in your personal information, including your name, address, and social security number.

03

Provide details about your household members, including their names and relationships to you.

04

Indicate your income sources and amounts for each household member.

05

Answer all required questions regarding your residency status and other eligibility criteria.

06

Review the filled form for accuracy and completeness.

07

Sign and date the completion section of the form.

08

Submit the form as instructed, either in person or by mail.

Who needs DHS-8A?

01

Individuals applying for certain assistance programs, such as subsidized housing or public assistance, may need to fill out the DHS-8A form.

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What is DHS-8A?

DHS-8A is a specific form used for reporting certain data related to health and human services, typically required by state or federal agencies.

Who is required to file DHS-8A?

Individuals or entities who receive funding or services from certain health and human services programs are required to file DHS-8A.

How to fill out DHS-8A?

To fill out DHS-8A, you should provide the required information accurately, ensuring to complete all sections of the form and submit it by the designated deadline.

What is the purpose of DHS-8A?

The purpose of DHS-8A is to collect necessary data for compliance and evaluation of service delivery within health and human services programs.

What information must be reported on DHS-8A?

The information that must be reported on DHS-8A typically includes demographic data, service usage statistics, and funding details.

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