stop work verification form mnlolo soetoro and halliburton
For more information, see 0028.30.09 (Refusing or Terminating Employment). Set yourself up for success and utilize the online library to download samples and turn them into . q - This form is used to request a Certificate of Clearnace when the property was transferred by a Decree of Descent. 0016 (Income from People Not in the Unit), Combined Six-Month Review (DHS-5576) (PDF), 0022.03.01.03 (Prospective Budgeting - SNAP Provisions), 0017.15.36 (Student Financial Aid Income), 0017.15.15 (Income of Minor Child/Caregiver Unde. - Receiving or applying for Unemployment Insurance (UI) and are cooperating with the work requirements. To learn more about what might be personally identifiable information . 0.749023 g 0000001041 00000 n The process is simple and automated, and most employees are verified within 24 hours. /F9 29 0 R /S 38 Date and reason of employment termination, and date last paid. - Employed 30 hours per week. in SNAP deletes all previous provisions and new provisions. Also see Chapter 8 (Changes in Circumstances) for verifications which may be required when a unit has a change in circumstances. This program was suspended 12/1/14. Q W 1 1 7.96 6.88 re 0 q MCC Recipient Notice - Instructions for getting reimbursed for Medical Transportation, MCC Trip Log 2020-2021 - Record your trips used for Medical Appointments. f /Font << DHS 3543 Request for Payment of Long-Term Care ServicesThis form is completed by enrollees who are requesting payment of long-term care services. MFIP, DWP, MSA, GA, GRH: 0028.06.12 (Who Is Exempt From SNAP Work Registration). When used, this form also meets any monthly report requirement clients may have for cash, SNAP or health care programs. /StructTreeRoot 32 0 R W n The verification must be in existing files. Do not verify earned income of a child under age 6. For all applicants give and verbally review during the interview: Give the forms below to all applicants. See 0007.03 (Monthly Reporting - Cash), 0007.03.02 (Six-Month Reporting), 0007.15 (Unscheduled Reporting of Changes - Cash), 0007.15.03 (Unscheduled Reporting of Changes - SNAP), 0009 (Recertification). EMC If the form you need is not on this list, you can visit the Minnesota Department of Human Services website where you can search eDocs to find the form you need. For more information about running SAVE, see 0010.18.11.03 (Systematic Alien Verification (SAVE)). No policy was changed. Household Report Form Case number: How to fill out this form: 1. ET PARENT/GUARD. n DHS 3163B Referral to Support and CollectionsThis form is used by MinnesotaCare, Medical Assistance and Child Care Assistance recipients for referral to the local child support agency for the purpose of establishing paternity or child support enforcement services. DHS 5776-ENG Combined Six-Month Report Form for Medical Assistance and SNAPThis form is for clients who have a six-month renewal for health care eligibility or a six-month report for the Supplemental Nutrition Assistance Program (SNAP) due. endstream endobj 419 0 obj <>/Subtype/Form/Type/XObject>>stream 2.7962 2.7525 Td ET endstream endobj 418 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream ET 7.3425 TL stream EMC STOP HERE. Employment start date: . Please turn on JavaScript and try again. /ZaDb 5.1626 Tf Click on the form to complete and print. See 0010.18.11 (Verifying Citizenship and Immigration Status), 0011.03.27 (Undocumented and Non-Immigrant People). Unless questionable, a verbal statement from the client meets the verification requirement. See 0010.18.30 (Verifying Student Income and Expenses). For more information on work rules and exemptions, see 0011.24 (Time-limited Recipients), 0028.06.12 (Who Is Exempt From SNAP Work Registration), 0028.07 (General Work Rules for SNAP). ]J}5vZZc}s?W0\(+X 1300.0170 STOP WORK ORDER. H$ This information can be obtained from the client's Employment Services Provider. Dakota County Google Translate Disclaimer. Create your signature and click Ok. Press Done. Verify the exemptions listed below at application time and/or when a change occurs. _ ! endstream endobj 413 0 obj <>/Subtype/Form/Type/XObject>>stream WORK VERIFICATION - Page 2. endstream endobj 441 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream These forms do not need to be verbally reviewed during the interview. - Unfit for Employment. EDAK 0058BEmployment Start and Stop Verification Authorization form allowing release of employment information required for the determination of eligibility for assistance.EDAK 3239Taxi/Limo Driver Income and Expense ReportReport used by participants who are self-employed to report income and expenses each month. updates cross-references to 0007.03.02 (Six-Month Reporting) only due to section title changes. W endstream endobj 424 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream >> 0000000025 00000 n /Tx BMC Verification of participation is required every 12 months or when there is a change in the clients participation, whichever comes first. SNAP: US Legal Forms is definitely the industry leader in affordable access to state-specific form templates. Document this verbal statement in CASE/NOTEs. This program was suspended 12/1/14. 1 1 7.96 7 re Immigration status, ONLY if the applicant reports a non-citizen status, including non-citizens, naturalized and derived citizen status. DHS 3543 Request for Payment of Long Term Care Services - This form is for people currently open on Medical Assistance (MA) that need waiver services, assisted living services, or nursing home services paid. endstream endobj 437 0 obj <>/Subtype/Form/Type/XObject>>stream 3. Authorization for Release of Information About Residence and Shelter Expenses (DHS, 0004.12 (Verification Requirements for Emergency A, 0010.18.01 (Mandatory Verifications - Cash Assistance), 0010.18.02 (Mandatory Verifications - SNAP), 0017.15.15 (Income of Minor Child/Caregiver Under 20), 0010.18.02.03 (Non-Mandatory Verifications SNAP). It looks like your browser does not have JavaScript enabled. Put the particular date and place your e-signature. Q << Identity may be verified through a document, or if a document is not available a collateral contact can be used. Disability status may be need to be verified. in SNAP deletes to verify disability exemption from work registration. Verify the following for all programs: Inconsistent information. Employment & Economic Assistance651-554-5611. See 0010.18.06 (Verifying Disability/Incapacity SNAP). All Section 8 Forms Applicants Participants Property Owners - Medically certified as pregnant. Enter your official contact and identification details. 5 0 obj For people in the Safe At Home Program, see 0029.29 (Safe At Home Program). BT q BT 0000019279 00000 n endstream endobj 442 0 obj <>/Subtype/Form/Type/XObject>>stream (4) Tj This can be obtained by contacting the client's Employment Services Provider. It also in the 4th paragraph adds tribe language. SERV. >> endstream endobj 431 0 obj <>/Subtype/Form/Type/XObject>>stream endobj Please seek professional legal advice if you are not sure this is the correct form for your situation. @~bJmmv6. X^'=sAb7:7f]l}`d1f7eB\w w= This form is for clients who have a six-month renewal for health care eligibility or a six-month report for the Supplemental Nutrition Assistance Program (SNAP) due. It also adds a new last paragraph with verification requirements. /Type /Page /Outlines 33 0 R 0000020915 00000 n Also see 0010.18.01 (Mandatory Verifications - Cash Assistance) for additional MFIP provisions relating to citizenship and immigration status. 0000021573 00000 n Below is a list of frequently requested Human services forms. If the injury/disability is temporary, new verification will be needed if the injury/disability extends past the anticipated end date. hb``d``~4YAb,_w400q` 0K* `3.vbwH, ,870c``u@ {@U ,Mf1249 ,0e0Z0Pk 0ahcLwLo0`Nb: m13y e-L}~fd``: Do not require any other form for this purpose. See 0010.18.01 (Mandatory Verifications - Cash Assistance). /Contents 6 0 R ^ey$>PzVjP~64$b*a`?H"4{p1 j X . You must verify that the client is cooperating with the work requirements of this program. BT 4.9716 TL 0000001409 00000 n 12/2005 Termination of Employment Verification TO: RE: . endobj DHS 5223C-ENG Combined Application Addendum (Supplemental Nutrition Assistance Program, Cash Assistance, and Health Care Programs)This is an addendum to the Combined Application Form and is used for adding people to existing MFIP and GA assistance units after the initial application has been processed. GEN 335 General Assistance Advanced Age Form - This form is used to verify a person meets the advanced age guidelines for General Assistance. Share your form with others Send it via email, link, or fax. DHS 3418-ENG Minnesota Health Care Programs Renewal Form EDAK 3670 Consent for Release Regarding Utility Shutoffs And/Or EvictionAuthorization form allowing Dakota County Employment & Economic Assistance permission to contact utility companies and/or landlord for information required for determination of eligibility for assistance. Do not run a Systematic Alien Verifications for Entitlements (SAVE) report unless you have determined that the applicant meets all other program requirements and the client would be eligible for benefits if the immigration status requirement is met. DHS 3418-ENG Minnesota Health Care Programs Renewal FormThis is the annual renewal form for all of the Minnesota Health Care Programs except Minnesota Family Planning and Breast and Cervical Cancer. >> endstream endobj 415 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream in SNAP adds that identity may be verified through a document, collateral contact or SOLQ-I. 0000001677 00000 n CHECK THE BOX, sign and date on the backside. Do not verify earned income of a child age 6 or older who has verified they are enrolled in school full-time in elementary, secondary, or GED. Q q Decide on what kind of signature to create. 0000021550 00000 n in general provisions in the 2nd paragraph in the 3rd bullet adds and deletes information. You may also mail any paperwork to our mailing address listed on this page. 0026.06 - NOTICE - APPROVAL OF APPLICATION OR RECERT. This can be verified with the income verifications that are provided by the client. If no other form of verification is available or if the client chooses to use a form to verify residence or shelter expenses, you may use the Authorization for Release of Information About Residence and . /Tx BMC Verification must be provided by a medical services provider for a client to meet this exemption. for more information on counted months used in another state. << endstream endobj 427 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream /ZaDb 5.1626 Tf Also see 0010.18.01 (Mandatory Verifications - Cash Assistance) for additional MFIP provisions relating to citizenship and immigration status. Document in MAXIS CASE/NOTEs the identity information obtained from SOLQ as a "Verify MN interface". This form reports the verified hours and is adapted for use by unlicensed individuals registered to perform electrical work. endstream endobj 417 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Open it up using the cloud-based editor and begin altering. DHS 2114 Request for Medical OpinionMedical consent form allowing release of medical information required for the determination of eligibility for human services programs. Do not verify eligibility factors that are already verified and not subject to change. 0000006411 00000 n Answer Yes or No to each question. Financial aid information from students attending post-secondary institutions. /Tx BMC If your child support, economic assistance (EA), or property tax paperwork involves a petition or claim to the Anoka County Attorney, those documents MUST be served on the County Attorney. >> endstream endobj 439 0 obj <>/Subtype/Form/Type/XObject>>stream See 0011.24 (Time-limited SNAP Recipients) for more information on counted months used in another state. @4z$]aAhBK503Ix7$&xv;le|Jn+TjeP-4TS Z Verify at the point of employment termination for participants, and for any employment terminated within 60 days of application for applicants. The verification requirements are as follows: endstream endobj 426 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream /Tx BMC DHS 2243 Authorization for Release of Information about Assets - This form is used to allow a bank or other financial institution to share information about your assets. BT >> 0026.30 - NOTICE, DISQUALIFICATION OF AUTHORIZED REP. 0026.33 - NOTICE, DENYING GOOD CAUSE FOR IV-D NON-COOP, 0026.39 - NOTICE OF OVERPAYMENT AND RECOUPMENT, 0026.42 - NOTICE OF INCOMPLETE OR MISSING REPORT FORM, 0026.51 - NOTICES - CHEMICAL USE ASSESSMENT, 0027.12.03 - APPEAL HEARING EXPENSE REIMBURSEMENT, 0028.03 - COUNTY AGENCY EMPL. 2.7962 2.7525 Td See 0010.18.03 (Verifying Social Security Numbers). (4) Tj /Tx BMC Minnesota Department of Labor & Industry Construction Codes and Licensing Division Licensing and Certification Services 443 Lafayette Road North St. Paul, MN 55155 Mailing Address: PO Box 64217 St. Paul, MN 55164-0217 Phone: 651.284.5031 Email: dli.exam@state.mn.us Web site: www.dli.mn.gov . 5. 0.749023 g 37 0 obj Fill the blank areas; involved parties names, addresses and phone numbers etc. In addition it is allowable to use SOLQ-I as verification of identity. /Filter /FlateDecode 0000007137 00000 n endstream endobj 443 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 1. Registered unlicensed individuals, as part of renewing their registration, must provide verification of their employment by a licensed contractor or registered employer during the registration period. << /Tx BMC Unit Member Information. in SNAP adds in the last paragraph that unless questionable, a verbal statement from the client meets the school attendance verification requirement. West St. Paul, MN 55118-4765. PARENT/GUARD. in SNAP in 2nd paragraph adds "lives with a natural, adoptive, or stepparent or is under the parental control of a household member other than a parent" for not requesting verification of earned income of an elementary, secondary, or GED student. GEN 262 Special Diets - This form is used to provide information regarding diets prescribed by a doctor. /Prev 0000025930 July 2, 2019 General Phone 651-554-5611 . After completing all three and making an online payment of $250, send the finished documents as attachments to compliance.mdhr@state.mn.us. EDAK 3641DIAL BrochureBrochure explaining how use the Dakota Information Access Line (DIAL) system. Items required to be verified at application, recertification and when changes occur are listed below. %%EOF /ZaDb 5.1626 Tf startxref Document this verbal statement in CASE/NOTEs. GEN 280 Drug Felony Release form - This form is used to allow Economic Assistance to obtain information regarding drug test results. f'G!&MCa a@e9\$!E!@m`R`IF\n@ Social Security numbers of all people applying for assistance. /F6 14 0 R endstream endobj 432 0 obj <>/Subtype/Form/Type/XObject>>stream 0.749023 g MCRE #: Employer: I grant permission to the Employer listed to provide and verify the information requested on this form. n Work verification is what employers conduct to see the work history and eligibility of both current and potential employees. >> Follow the step-by-step instructions below to design your hennepin county household report form: Select the document you want to sign and click Upload. Each form includes instructions about where and how to turn it in. The following list includes the most commonly requested forms. 0.749023 g EMC 2 0 obj %PDF-1.5 EMC Verify eligibility factors at initial application. 0000005955 00000 n H, << 0 0 Td DHS-2146 Authorization for Release of Employment Information - This form is completed by an employer to verify employment start, stop, or wage change. EMC f ET We would like to show you a description here but the site won't allow us. RESPONSIBILITIES, 0028.03.01 - COUNTY AND TRIBAL NATION SNAP E&T RESPONSIBILITIES, 0028.03.02 - ES PROVIDER RESPONSIBILITIES - SNAP E&T, 0028.03.03 - EMPLOYMENT SERVICES/SNAP E&T REQUIRED COMPONENTS, 0028.03.06 - DETERMINING SNAP PRINCIPAL WAGE EARNER, 0028.03.09 - REPORTING CHANGES TO JOB COUNSELOR, 0028.06.02 - UNIVERSAL PARTICIPATION PROVISIONS, 0028.06.03 - WHO MUST PARTICIPATE IN EMPL. f Earliest date health/dental benefits are available? 4.9716 TL Q You must also verify some eligibility factors monthly, at recertification, or when changes occur. Any person who knowingly or willingly requests, obtains, or discloses any information under false pretenses concerning an applicant or participant may be subject to a misdemeanor and fined not more than . Also see 0010.18.01 (Mandatory Verifications - Cash Assistance) for additional MFIP provisions relating to citizenship and immigration status. /N 1 /Root 3 0 R endstream endobj 435 0 obj <>/Subtype/Form/Type/XObject>>stream It can also be used but is not required for collecting information on people added to the Supplemental Nutrition Assistance Program (SNAP) or a Minnesota health care program. You may be trying to access this site from a secured browser on the server. endstream endobj 416 0 obj <>/Subtype/Form/Type/XObject>>stream DHS 2338 Cooperation with Child Support EnforcementForm that client completes about cooperating with child support to receive public assistance. It also adds appropriate cross-references. 0 /Tx BMC Do not verify earned income of a caregiver under 20 who has verified they are enrolled at least half-time in an approved school. > Residency in Minnesota, unless verification cannot be obtained because the people are homeless, migrant farmworkers, or newly arrived in Minnesota. (4) Tj SERVICES SANCTIONS, 0028.30.04.03 - POST 60-MONTH SANCTIONS: 2-PARENT PROVISIONS, 0028.30.06 - SANCTIONS FOR NOT MEETING SNAP WORK RULE, 0028.30.09 - REFUSING OR TERMINATING EMPLOYMENT, 0028.30.12 - SANCTION NOTICE FOR MINOR CAREGIVER, 0028.33 - EMPLOYMENT SERVICES/SNAP E&T NOTICE REQUIREMENTS, 0029.03.06 - FAMILY SUPPORT GRANT PROGRAM, 0029.03.09 - CONSUMER SUPPORT GRANT PROGRAM, 0029.03.18 - RELATIVE CUSTODY ASSISTANCE PROGRAM, 0029.06.03 - SUPPLEMENTAL SECURITY INCOME PROGRAM, 0029.06.06 - RETIREMENT, SURVIVORS AND DISABILITY INSURANCE, 0029.06.21 - UNITED STATES REPATRIATION PROGRAM, 0029.06.24.03 - TRIBAL TANF - MILLE LACS BAND OF OJIBWE, 0029.06.24.06 - TRIBAL TANF - RED LAKE BAND OF CHIPPEWA INDIANS, 0029.07.03 - MINNESOTA STATE FOOD BENEFITS, 0029.07.09 - WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM, 0029.07.12 - COMMODITY SUPPLEMENTAL FOOD PROGRAM, 0029.07.15 FOOD DISTRIBUTION PROGRAM-INDIAN RESERVATION, 0029.20.09 - FAMILY HOMELESS PREVENTION ASSISTANCE, 0029.27 - LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, 0029.31 - CHILD CARE RESOURCE AND REFERRAL, 0030.03.01.01 - INELIGIBLE FOR OTHER CASH PROGRAMS, 0030.03.09 - DETERMINING RCA GROSS INCOME, 0030.03.16 - PROCESSING REPORTED CHANGES - RCA, 0030.03.18 - RCA OVERPAYMENTS AND UNDERPAYMENTS, 0030.12.03 - RCA POST-SECONDARY EDUCATION/TRAINING, 0030.12.06 - RCA EMPLOYMENT SERVICES GOOD CAUSE CLAIMS. 0026.12.12 - WHEN NOT TO GIVE ADDITIONAL NOTICE, 0026.12.15 - WHEN TO GIVE RETROACTIVE OR NO NOTICE, 0026.12.21 - VOLUNTARY REQUEST FOR CLOSURE NOTICE, 0026.15 - NOTICE OF DENIAL, TERMINATION, OR SUSPENSION, 0026.21 - NOTICE OF CHANGE IN ISSUANCE METHOD, 0026.24 - NOTICE OF RELATIVE CONTRIBUTION. 4.9716 TL If you are not able to find the form you are looking for, search for additional forms below: Searchable document library (eDocs) / Minnesota Department of Human Services (mn.gov) Contact a human services representative Phone: 612-596-1300 M-F, 8 a.m. to 4:30 p.m. When used, this form also meets any monthly report requirement clients may have for cash, SNAP or health care programs. Termination of Employment Verification - Section 8/236 Rev. % n RESPONSIBILITIES, 0028.03.01 - COUNTY AND TRIBAL NATION SNAP E&T RESPONSIBILITIES, 0028.03.02 - ES PROVIDER RESPONSIBILITIES - SNAP E&T, 0028.03.03 - EMPLOYMENT SERVICES/SNAP E&T REQUIRED COMPONENTS, 0028.03.06 - DETERMINING SNAP PRINCIPAL WAGE EARNER, 0028.03.09 - REPORTING CHANGES TO JOB COUNSELOR, 0028.06.02 - UNIVERSAL PARTICIPATION PROVISIONS, 0028.06.03 - WHO MUST PARTICIPATE IN EMPL. << If there is student income, also give the Financial Aid Information Form (DHS-2646) (PDF). in SNAP in the 2nd paragraph in the 1st bullet adds and deletes information about allowing housing costs as a deduction for applications and recertifications. 2023 Minnesota Department of Human Services, 0007.15 (Unscheduled Reporting of Changes - Cash), Verification Request Form (DHS-2919) (PDF), 0010.15 (Verification - Inconsistent Information), 0010.18.11 (Verifying Citizenship and Immigration Status), 0010.18.11.03 (Systematic Alien Verification (SAVE)), 0011.03.27 (Undocumented and Non-Immigrant People), (Mandatory Verifications - Cash Assistance). Verification is needed that the client is enrolled in the program and can be obtained by contacting your local resettlement agency. 409 0 obj <> endobj endstream endobj 421 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream in SNAP adds a cross-reference to 0028.30.09 (Refusing or Terminating Employment). Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 0000006779 00000 n /O 4 Find the Stop Work Form Hennepin County you require. H >> Fill out and return this form or your benefits may be late or stop. H stream EMC 4.9716 TL 2023 Minnesota Department of Human Services, 0010.18.03 (Verifying Social Security Numbers), 0010.18.11.03 (Systematic Alien Verification (SAVE)), 0010.18.11 (Verifying Citizenship and Immigration Status), 0011.03.27 (Undocumented and Non-Immigrant People). /Type /Catalog EMC MFIP, DWP: The verification requirements are as follows: 0010.18.06 (Verifying Disability/Incapacity - SNAP). Get the documents for Minnesota Employment verification you need with an user-interface developed for straightforwardness and organization. 0.749023 g Questions about legal documents can be directed to the County Attorneys Office: 763-324-5550. The advanced tools of the editor will guide you through the editable PDF template. >> W EMC If you are not able to find the form you are looking for, search for additional forms below: Searchable document library (eDocs) / Minnesota Department of Human Services (mn.gov). l(i`_Vh5F,mXB7sJK~A."ak&MaWtyB\"#upI7HD6 .Qpfv \#ba=Jzc0%FFA(=Z(pK4V:pT"#nQ $F_Mq~$\b7 .QpQ $FF#Lzup! /ZaDb 5.0258 Tf in SNAP under sub-heading ABAWDs in the 3rd bullet adds and deletes language and cross-references for clarity. xD(@, /Tx BMC Verify additional eligibility factors required by each program as noted in the specific program provisions in 0004.12 (Verification Requirements for Emergency Aid), 0010.18.01 (Mandatory Verifications - Cash Assistance), 0010.18.02 (Mandatory Verifications - SNAP). 0026.06 - NOTICE - APPROVAL OF APPLICATION OR RECERT. @4z$]aAhBK503Ix7$&xv;le|Jn+TjeP-4TS Z 0000007179 00000 n - Participating regularly in a drug addiction or alcohol treatment and rehabilitation program. /Length 125 "H`DH.~ "9H0:@X,r,bb{5 I& |##(9$L @/b See 0010.15 (Verification Inconsistent Information). The way to fill out the DSS stop work form online: To get started on the blank, use the Fill camp; Sign Online button or tick the preview image of the document. for additional MFIP provisions relating to citizenship and immigration status. DHS 3336-ENG Self-Employment Report FormReport used by participants who are self-employed to report income and expenses each month. You must verify that the client is complying with Refugee Employment Services. endobj For budgeting information see 0022.03.01.03 (Prospective Budgeting - SNAP Provisions). Show details How it works Open the mn employment verification and follow the instructions Easily sign the minnesota employment verification form with your finger SNAP: See 0010.18 (Mandatory Verifications) for mandatory verifications that apply to all programs. 01. Minneapolis, MN 55487-0718. See 0010.18.06 (Verifying Disability/Incapacity - SNAP). Use of the information collected based on this verification form is restricted to the purposes cited above. > 0000024780 00000 n Email us at compliance.mdhr@state.mn.us or call 651-539-1095. If the exemptions are not listed below, they do not need to be verified unless questionable. If DHS does not provide a form for a given purpose, the county or tribe may develop their own form; however, the form must meet the requirements in TEMP Manual TE12.02.01 (County Designed Forms). endstream endobj 438 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 430 0 obj <>/Subtype/Form/Type/XObject>>stream 4.8399 TL DHS 8107 Household Update Form - This form is for people currently open on Cash or SNAP programs that need to complete a review following the COVID emergency. Residency in Minnesota, unless verification cannot be obtained because the people are homeless, migrant farmworkers, or newly arrived in Minnesota.