As you are required to fill out your recertification on either an annual, bieannual or triennial basis, depending on your households qualification. It’s important to fill out each document correctly on the first attempt to remove any additional requests or delays. If you only need to correct one document or are only interested in certain documents from the packet, please select the article below. All documents are required to be filled out correctly in addition to submitting all relevant income/asset information. Select which document you are filling out and follow the directions.
- Family Certification Form
- Authorization for the Release of Information Form
- Family Responsibilities Form
- Fair Information Practices Act Form
- Drug and/or Violent Criminal Activity Consent Form
- Asset Income Self- Certification Form
- Communication Preference Form
Additional documents
In the event you are a zero income household, or there is an individual who is zero income, you may also need to fill out the additional form. Click on the links below:
- Self-Certification of Zero Income (zero income individual)
- Household Zero Income Form (zero income household)
- Financial Hardship Worksheet (zero income household)
If the member or household is zero income, you will need to provide verification. This can be found in the article below with regarding income and asset verification.
What additional Items needed?
Yes! Part of your recertification, you will need to provide any income and assets.
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