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19HCWDEPENDENTHOUSEHOLD SIZE CLARIFICATION WORKSHEETOffice of Student Financial Assistance2018 2019Student Name:CUA ID:You and/or your parents indicated on one or more financial aid forms received
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How to fill out household clarification worksheet

01
To fill out the household clarification worksheet, follow these steps:
02
- Start by gathering all necessary documents, such as income statements, proof of residency, and identification.
03
- Begin by entering your personal information in the designated sections, including your name, address, and social security number.
04
- Provide details about your household members, including their names, ages, and relationships to you.
05
- Declare the income of each household member, including any wages, government benefits, or other sources of income.
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- Indicate if any members of your household receive non-cash benefits, such as food stamps or housing assistance.
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- Note any changes in your household's circumstances, such as a new member joining or someone leaving.
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- Double-check all the entries and make sure they are accurate and complete.
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- Sign and date the worksheet to certify the information provided.
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- Submit the filled-out household clarification worksheet to the appropriate authority or as instructed. Keep a copy for your records.

Who needs household clarification worksheet?

01
The household clarification worksheet is typically needed by individuals or families who are applying for government assistance programs, such as Medicaid, food stamps (SNAP), or housing assistance.
02
It is also commonly required for certain tax credits or benefits that depend on household income and composition.
03
If you are unsure whether you need to fill out a household clarification worksheet, contact the relevant program or authority for guidance.
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Household clarification worksheet is a form used to provide detailed information about the members of a household for tax or government assistance purposes.
Individuals or families who receive government assistance or tax credits that require verification of household income and members may be required to file a household clarification worksheet.
To fill out a household clarification worksheet, you need to provide accurate information about each member of the household including their names, ages, relationships, incomes, and any government assistance received.
The purpose of a household clarification worksheet is to ensure that government assistance programs or tax credits are being distributed correctly based on the household's composition and income levels.
Information that must be reported on a household clarification worksheet includes names, ages, relationships, incomes, and other relevant details about each member of the household.
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