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Information Booklet Important Things about Programs and Services Michigan Department of Health and Human Services Read this booklet before you sign the Assistance Application/Redetermination form.MDHHSPub1010.

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How to fill out the MI DHS-PUB-1010_DSA online

This guide provides clear instructions on filling out the MI DHS-PUB-1010_DSA online. By following these steps, users can ensure accurate completion of the form, facilitating access to vital programs and services.

Follow the steps to complete the MI DHS-PUB-1010_DSA online.

  1. Click the ‘Get Form’ button to access and open the MI DHS-PUB-1010_DSA form.
  2. Begin filling in your personal information in the designated fields. Ensure accuracy when entering your name, address, and contact details.
  3. Provide details about all household members. List everyone living with you, including dependents and anyone who contributes to your household income, even if they are not applying for services themselves.
  4. Indicate your income sources. Be thorough in reporting wages, benefit payments (e.g., Social Security, unemployment), and any other form of income.
  5. Complete the sections regarding your household’s assets, ensuring that you include bank statements and property ownership documents.
  6. If applicable, describe the circumstances regarding any specific assistance needs, such as child care or assistance due to medical conditions.
  7. Review all entered information for accuracy and completeness, ensuring that no fields are left blank unless specified.
  8. Save any changes you've made to the form. You can download or print a copy of the completed document for your records.
  9. Submit the form as per the instructions provided. Ensure you keep a copy for your personal records.

Complete the MI DHS-PUB-1010_DSA online today to ensure you receive the assistance you need.

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  • Home Sales
  • Employment
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  • Living Trust
  • Name Change
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  • Packages A-Z
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  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
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  • About Us
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MI DHS-PUB-1010_DSA
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