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DEPARTMENT OF HEALTH AND HUMAN SERVICESCENTERS FOR MEDICARE & MEDICAID SERVICESMEDICARE/MEDICAID CERTIFICATION AND TRANSMITTALID: 2YUSPART I TO BE COMPLETED BY THE STATE SURVEY AGENCY 1. MEDICARE/MEDICAID
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Brenda Fischer HFE NE stands for Brenda Fischer Household Finance Evaluation Non-Exempt.
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The form can be filled out online on the financial institution's website or in person at a branch location.
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The purpose is to evaluate the household finances of an individual to determine eligibility for certain financial products or services.
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Information such as income, expenses, assets, and liabilities must be reported.
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