Get Md Dhs/fia 1130 2017-2026

The MD DHS/FIA 1130 form is essential for verifying rent and living arrangements for individuals applying for assistance. This guide will walk you through each section of the form, ensuring you understand how to complete it accurately.

Follow the steps to successfully fill out the MD DHS/FIA 1130 online.

1. Press the ‘Get Form’ button to acquire the form and open it in the designated editor.
2. Begin by entering the customer name and client ID at the top of the form. This information helps identify your case and should match your records.
3. Fill in the case manager's name, their telephone number, and the district or county where you reside. These details ensure communication with your case manager.
4. In Section I, which is to be completed by the landlord or rental agent, enter the tenant's name and the date of occupancy. This section certifies the tenant’s living arrangements.
5. Provide the complete address of the rental property, ensuring accuracy to prevent processing delays.
6. Indicate the rent charged by selecting weekly, monthly, or other, and fill in the exact dollar amount the tenant pays.
7. Answer the questions regarding whether the rent includes utilities like heat, electric, cooking, water, and air conditioning by marking 'Yes' or 'No' as applicable.
8. For any separate utility costs, list the types and amounts, as well as the date the tenant was last billed.
9. Indicate if the housing is federally subsidized by selecting one of the provided options, if applicable.
10. Complete Section II by listing all individuals living with the tenant, including their relationship to the tenant and whether meals are shared.
11. Have the landlord or rental agent sign and date the form, and ensure they provide their printed name, phone number, and address.
12. Finally, the tenant should provide their signature and date at the end of the form before submitting it online.
13. Once finished, you can save changes, download, print, or share the completed form as needed.

Complete the MD DHS/FIA 1130 online today for efficient processing of your assistance request.