MN DHS-3360-ENG 2020 free printable template
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DHS3360ENG120Electronic Funds Transfer for DSP, FIP, GA,
MSA or RCA benefits
Safe, reliable, smart, easyYour Diversionary Work Program (DSP),
Minnesota Family Investment Program (FIP),
General Assistance
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How to fill out MN DHS-3360-ENG
01
Obtain the MN DHS-3360-ENG form from the Minnesota Department of Human Services website or your local office.
02
Start by filling out the personal information section, including your name, address, and contact information.
03
Provide details about your household members, such as their names and relationships to you.
04
Complete the income section by listing all sources of income for you and your household members, including employment, benefits, and other sources.
05
Fill out the expenses section, detailing your monthly bills and essential living costs.
06
Review the information you've provided for accuracy and make any necessary corrections.
07
Sign and date the form to certify that the information is true and complete.
08
Submit the completed form to your local DHS office or follow any specific submission instructions provided.
Who needs MN DHS-3360-ENG?
01
Individuals or families applying for services from the Minnesota Department of Human Services, such as financial assistance, food support, or healthcare.
02
Anyone looking to assess their eligibility for various assistance programs offered by the state.
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What is MN DHS-3360-ENG?
MN DHS-3360-ENG is a form used by the Minnesota Department of Human Services to gather information for public assistance programs and services.
Who is required to file MN DHS-3360-ENG?
Individuals applying for or receiving public assistance benefits in Minnesota are required to file MN DHS-3360-ENG.
How to fill out MN DHS-3360-ENG?
To fill out MN DHS-3360-ENG, provide accurate personal information, details about income, family composition, and any other relevant data as requested in the form.
What is the purpose of MN DHS-3360-ENG?
The purpose of MN DHS-3360-ENG is to ensure that the Department of Human Services has the necessary information to determine eligibility for public assistance programs.
What information must be reported on MN DHS-3360-ENG?
Information that must be reported on MN DHS-3360-ENG includes personal identification details, household income, expenses, and other financial resources.
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