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STATE OF MICHIGAN ADMINISTRATIVE HEARING SYSTEM ADMINISTRATIVE HEARINGS FOR THE DEPARTMENT OF HUMAN SERVICES IN THE MATTER OF: Reg. No: Issue No: Case No: 2011-41131 2011-16645 2023 March 13, 2011,
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How to fill out Macomb County DHS 12:

01
Start by obtaining the Macomb County DHS 12 form. You can either download it from the Macomb County Department of Human Services website or request a copy from your local DHS office.
02
Begin by providing your personal information. This may include your full name, address, phone number, and social security number. Make sure to double-check for any errors or omissions.
03
Next, indicate your household information. This typically involves providing the names and details of all individuals living with you, including their relationship to you and their social security numbers.
04
Proceed to the income section. Here, you will need to disclose the sources and amounts of income for all members of your household. This can include employment income, government assistance, child support, alimony, or any other sources of income. Ensure all information is accurate and up-to-date.
05
If applicable, include information about your expenses. This can include rent or mortgage payments, utility bills, child care costs, medical expenses, and any other necessary expenditures. Be thorough and provide supporting documentation whenever possible.
06
The form may also require information regarding your assets and resources. This can include bank account details, real estate ownership, vehicles, and any other assets you have. Ensure to disclose all relevant information accurately.
07
Lastly, sign and date the form. Review all the information provided to ensure it is complete and accurate. If you have any questions or concerns, consider consulting a professional or contacting the Macomb County Department of Human Services directly.

Who needs Macomb County DHS 12:

01
Individuals or families residing in Macomb County, Michigan, who are in need of assistance from the Department of Human Services.
02
Those seeking various benefits such as cash assistance, food assistance, Medicaid, child care assistance, or other forms of public assistance available through the Macomb County DHS.
03
Individuals experiencing financial hardship or facing difficult circumstances that require support from the government to meet their basic needs. The DHS 12 form serves as a tool to assess eligibility for these benefits and capture necessary information.
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Macomb County DHS 12 is a form used to report household income, expenses, and other information to the Department of Health and Human Services in Macomb County.
Households receiving assistance from the Department of Health and Human Services in Macomb County are required to file the DHS 12 form.
The DHS 12 form can be filled out online or in person at a Department of Health and Human Services office in Macomb County. It requires you to provide information about your household income, expenses, and other relevant details.
The purpose of the Macomb County DHS 12 form is to help determine eligibility for assistance programs provided by the Department of Health and Human Services in the county.
Household income, expenses, assets, and other relevant information must be reported on the Macomb County DHS 12 form.
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