Get Statement Of Living Arrangement - Hsa Smcgov

Filling out the STATEMENT OF LIVING ARRANGEMENT - Hsa Smcgov is an important step in verifying your living situation and associated costs. This guide will provide you with clear, step-by-step instructions to help you complete this form online with ease.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Provide the tenant’s name in the designated section at the top of the form.
3. Enter the worker number in the specified field to link the form to your case.
4. Gather and provide current rent receipts or lease agreements and utility bills as proof of your costs. Ensure they include the address and amounts due.
5. Fill in the complete address of the tenant, including room or apartment number and city.
6. Indicate the date the tenant moved in and the rent charged for the move-in month.
7. Specify the amount of rent the tenant is required to pay each month and the due date for that rent.
8. Note any previous rent amounts and the date when that amount last changed.
9. Indicate the total number of people living at the address, including children.
10. Check the appropriate boxes for the utilities covered by the rent payment.
11. Indicate which utilities the tenant receives for free, if applicable.
12. Answer the questions regarding cost of food and responsibilities related to food.
13. Print the name of the provider or landlord in the designated area and enter the date.
14. Provide the provider or landlord’s address and home phone number.
15. Ensure the provider or landlord signs the form and includes their business phone.
16. Once you have completed all required fields and steps, save your changes, and download, print, or share the completed form as needed.

Complete your document online today to ensure your living arrangement verification is processed smoothly.