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HI DHS 1640 2020-2025 free printable template

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How to fill out hi dhs 1640

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How to fill out HI DHS 1640

01
Obtain the HI DHS 1640 form from the Hawaii Department of Human Services website or office.
02
Fill in your personal information, including your name, address, and contact details accurately.
03
Provide details about your household members, including their names, dates of birth, and relationship to you.
04
Specify your income sources by detailing your employment, benefits, or any other income you receive.
05
Attach any required documentation to support your claims, such as pay stubs or benefit statements.
06
Review the form for accuracy and completeness before submitting it.
07
Submit the completed form to the appropriate DHS office by mail or in person.

Who needs HI DHS 1640?

01
Individuals or families in Hawaii who are applying for financial assistance programs through the Department of Human Services.
02
Those seeking eligibility for government resources such as food stamps, Medicaid, or other public assistance.
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(a) A person commits the crime of elder abuse and neglect in the first degree if he or she intentionally abuses or neglects any elderly person and the abuse or neglect causes serious physical injury to the elderly person.
To make a report call: To report abuse, neglect, and/or exploitation of vulnerable adults: Call the Statewide APS Reporting Line at (808) 832-5115.
(1) A person commits the offense of endangering the welfare of an incompetent person if he knowingly acts in a manner likely to be injurious to the physical or mental welfare of a person who is unable to care for himself because of physical or mental disease, disorder, or defect.
To report abuse, neglect, and/or exploitation of vulnerable adults: Call the Statewide APS Reporting Line at (808) 832-5115.
The 7 most common types of elderly abuse include physical abuse, neglect, emotional abuse, financial abuse, sexual abuse, self-neglect, and abandonment. Any of these elder abuse types can be devastating to older people and their families.
PHYSICAL ABUSE: Non-accidental injury, pain, or impairment, such as from hitting, slapping, improper physical restraint, or poisoning. PSYCHOLOGICAL ABUSE: Threats, insults, harassment, humiliation, provocation, or intimidation that profoundly confuse or frighten the vulnerable adult.
Examples include humiliation or disrespect, verbal and non-verbal threats, harassment, and geographic or interpersonal isolation. Neglect is the failure to meet an older adult's basic needs. These needs include food, water, shelter, clothing, hygiene, and essential medical care.
Report Abuse, Neglect and Exploitation Call the Adult Abuse Hotline at 1-800-458-7214 to report suspected mistreatment.

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HI DHS 1640 is a form used by the Department of Human Services in Hawaii for reporting specific information related to social services and assistance programs.
Individuals or organizations that are participating in or administering programs under the Department of Human Services in Hawaii are required to file HI DHS 1640.
To fill out HI DHS 1640, you must provide accurate and complete information as requested on the form, including personal details, program participation, and any required documentation.
The purpose of HI DHS 1640 is to collect necessary data for evaluating and managing social service programs in Hawaii.
Required information on HI DHS 1640 includes the participant's personal details, program details, financial information, and any other relevant data as specified by the form.
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