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  • Ma Shared Housing Verification Form 2015

Get Ma Shared Housing Verification Form 2015

Shared Housing Verification Form Instructions Part I to be completed by the requester enter your name and the date the form must be returned. enter the name and address of the head of the household sharing housing expenses with the person named in Part III and enter the date the person moved in. NOTE Complete the Requester Use Only box when the completed form is returned. Part III The Authorization to Release Information must be fully completed. Please complete the following Question 1. Answer yes or no for each question* If the answer is yes always fill out the Amount. many meals per week and Amount paid for these meals. Question 3 4 y 5. Answer yes or no for each question* Question 6. Number of Households at this address. Question 7. Please list the names of the people who live with the person named in Part III who also live in your household. For the head of household completing this form please print your name sign and date the bottom of the form* Once it is completed keep the yell....

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How to fill out the MA Shared Housing Verification Form online

The MA Shared Housing Verification Form is essential for verifying your housing situation when applying for benefits such as TAFDC, EAEDC, and SNAP. This guide will provide clear, step-by-step instructions for completing the form online, ensuring that you can accurately submit the required information.

Follow the steps to successfully complete your Shared Housing Verification Form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by filling out the client information section. Include the client’s full name, Agency ID or the last four digits of their Social Security Number, and their address.
  3. Next, the primary tenant, homeowner, or roommate should complete their section by answering questions about the shared housing situation. Indicate if the housing is public or subsidized and if meals are provided to the client.
  4. In the household information section, list individuals residing in the home who are related to the client or the client’s children, as well as those who purchase food and prepare most meals with the client.
  5. Proceed to the rent information section. Specify if the client pays rent, and if so, indicate the amount paid monthly or weekly.
  6. Fill out the utility information to detail if the client pays for any utilities separately from rent. List the types of utilities and mark which are applicable.
  7. Finally, the primary tenant, homeowner, or roommate must sign and date the form, certifying that all provided information is accurate and complete.
  8. After completing the form, save the changes, and you may choose to download, print, or share the form as needed before submission.

Complete your MA Shared Housing Verification Form online today to ensure a smooth application process for your benefits.

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MA Shared Housing Verification Form
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