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MI DHS-681 2012 free printable template

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STATE OF MICHIGAN DEPARTMENT OF HUMAN SERVICES LANSING RICK SNYDER GOVERNOR MAURA D. CORRIGAN DIRECTOR REQUEST TO DISCHARGE STATE-OWED DEBT If you think you have good reasons for the Friend of the Court FOC to discharge forgive or waive your state-owed debt please complete all information on this form and return it to the FOC office where your court order is located. You may include more pages if you need more space. You may be asked to fill out more paperwork or provide proof of any of this...
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How to fill out MI DHS-681

01
Gather personal information, including your name, address, and date of birth.
02
Provide details about your household composition, including names and relationships.
03
List your income sources, such as employment, government benefits, or any other earnings.
04
Document your expenses, including rent/mortgage, utilities, and other necessary costs.
05
Review your entries for accuracy and completeness.
06
Sign and date the form before submission.
07
Submit the completed form to your local Department of Human Services office.

Who needs MI DHS-681?

01
Individuals and families seeking assistance from Michigan’s Department of Human Services.
02
Those applying for benefits like food assistance, Medicaid, or cash assistance.
03
Anyone undergoing a review or renewal of their current assistance program.
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MI DHS-681 is a form used by the Michigan Department of Health and Human Services to report changes in a recipient's circumstances, which can affect their eligibility for benefits.
Individuals receiving benefits from the Michigan Department of Health and Human Services may be required to file MI DHS-681 if there are changes in their personal information that could impact their eligibility.
To fill out MI DHS-681, you should provide your personal information, describe the changes in your circumstances clearly, and follow any additional instructions provided on the form.
The purpose of MI DHS-681 is to ensure that the Michigan Department of Health and Human Services has up-to-date and accurate information regarding recipients, helping to determine their ongoing eligibility for benefits.
Information that must be reported on MI DHS-681 includes changes in income, household composition, employment status, address, and other conditions that might affect eligibility for benefits.
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