Get the free Home Stabilization Referral Form Date of Referral rev v 6 10192016 - eohhs ri

Rhode Island Executive Office of Health and Human Services 74 West Road, Cranston, RI 02920 Home Stabilization Referral Form Home Stabilization services are for Medicaid beneficiaries who require

How to fill out home stabilization referral form

How to fill out home stabilization referral form

1. Step 1: Start by downloading the home stabilization referral form from the official website or obtain a physical copy from your local housing authority.
2. Step 2: Fill in your personal information including your full name, address, contact number, and email address.
3. Step 3: Provide details about your current housing situation, such as whether you own or rent the property.
4. Step 4: Indicate the reason for seeking home stabilization assistance and provide any relevant supporting documents.
5. Step 5: Include information about your income, including sources of income and monthly expenses.
6. Step 6: If applicable, provide details about any special circumstances or medical issues that may affect your housing stability.
7. Step 7: Review the completed form for accuracy and make any necessary corrections.
8. Step 8: Sign and date the form to confirm that the information provided is true and accurate.
9. Step 9: Submit the form through the designated submission method, whether it is by mail, email, or in person.
10. Step 10: Keep a copy of the filled-out form for your records in case of any future reference or follow-up.

Who needs home stabilization referral form?

1. Individuals and families who are experiencing housing instability or at risk of homelessness can utilize the home stabilization referral form.
2. People who are struggling to afford housing costs, facing eviction or foreclosure, or dealing with unsafe or inadequate living conditions may benefit from filling out this form.
3. The form can be used by both renters and homeowners who require assistance in stabilizing their housing situation.
4. Individuals with special circumstances such as disabilities, chronic health conditions, or other vulnerable situations may also qualify for home stabilization support.

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What is home stabilization referral form?

The home stabilization referral form is a document used to request assistance in stabilizing a home that is at risk of being lost due to financial hardship or other circumstances.

Who is required to file home stabilization referral form?

Homeowners or individuals responsible for maintaining the home are required to file the home stabilization referral form.

How to fill out home stabilization referral form?

To fill out the home stabilization referral form, individuals must provide information about their financial situation, the reasons for needing assistance, and any other relevant details.

What is the purpose of home stabilization referral form?

The purpose of the home stabilization referral form is to help individuals and families in danger of losing their home by connecting them with resources and support services.

What information must be reported on home stabilization referral form?

Information such as income, expenses, debts, reasons for requesting assistance, and any other relevant details must be reported on the home stabilization referral form.