Follow the steps to fill out the form accurately and submit it online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out the form by providing your eligibility document details, including the due date, case number, county number, and the worker's name assigned to your case.
3. In the household members section, list the names and details of all individuals receiving benefits with you. Ensure to include their state ID, social security number, age, last grade completed in school, health insurance status, and citizenship status.
4. Next, indicate whether there are any additional people living in your home not previously listed and provide details for them if applicable.
5. Transition to the income section. Report all sources of income for each household member, including employment details and any additional money received. Be sure to include required proof, such as recent pay stubs.
6. Continue to the resources section. Provide information about assets such as vehicles, bank accounts, and other significant resources owned by household members.
7. Fill out the expenses section detailing childcare costs, medical expenses, and any shelter and utilities you pay. Include proof for any expenses reported.
8. Review your entries for accuracy. Once all sections are complete, sign and date where indicated, both yourself and any person who assisted you.
9. Finally, save your changes, then proceed to download, print, or share the completed form as necessary. Ensure it is sent to the appropriate address.

Complete your recertification paperwork online today to ensure timely processing.