Get Discretionary Residency Benefit Form

Filling out the Discretionary Residency Benefit Form online can be a straightforward process if you follow the steps carefully. This guide intends to provide clear, step-by-step instructions to ensure you complete the form accurately.

Follow the steps to complete the form effectively.

1. Click the ‘Get Form’ button to access the form and open it for completion.
2. Enter the current date in the designated field at the top of the form.
3. Provide your full name in the section labeled 'NAME'. Make sure the spelling matches official documents.
4. Fill in your MEMBER ID, which helps identify your case within the system.
5. Input your date of birth in the section marked 'D.O.B.'. Ensure the format is consistent with any requirements specified.
6. List the name of your case manager in the provided field.
7. Select the reason for your request by checking the appropriate box. You may choose more than one option if applicable.
8. In the comments section, detail any additional information that may support your request.
9. In the 'Items that you are requesting help with' section, list the items and the corresponding amounts requested for each category.
10. Ensure that the total amount requested is calculated accurately by adding all individual requests together.
11. Review the entire form for accuracy and completeness before signing.
12. Sign and date the form in the designated area to validate your submission.
13. After completing the form, save your changes. You can then download, print, or share the form as necessary.

Take the next step towards securing assistance by filling out the Discretionary Residency Benefit Form online today.