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Recertification of Household Members Instructions: Please fully complete BOTH sections, check BOTH boxes, sign and date To confirm income eligibility, all adults listed on the lease as tenants must
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01
Obtain a copy of dehap-self-certification-of-household-memberspdf form.
02
Fill in the required information about each household member, including name, date of birth, relationship to the head of household, and any special needs or vulnerabilities.
03
Sign and date the form to certify that the information provided is accurate and complete.
04
Keep a copy of the completed form for your records.
Who needs dehap-self-certification-of-household-memberspdf?
01
Anyone applying for or receiving assistance from the DEHAP program may need to fill out dehap-self-certification-of-household-memberspdf.
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What is dehap-self-certification-of-household-memberspdf?
The dehap-self-certification-of-household-memberspdf is a form for household members to self-certify certain information.
Who is required to file dehap-self-certification-of-household-memberspdf?
All household members are required to file the dehap-self-certification-of-household-memberspdf form.
How to fill out dehap-self-certification-of-household-memberspdf?
The dehap-self-certification-of-household-memberspdf form can be filled out by providing necessary information about household members.
What is the purpose of dehap-self-certification-of-household-memberspdf?
The purpose of dehap-self-certification-of-household-memberspdf is to verify the information of household members for certain purposes.
What information must be reported on dehap-self-certification-of-household-memberspdf?
The dehap-self-certification-of-household-memberspdf form requires information such as name, address, relationship to head of household, and other relevant details.
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