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Get Md Dhs/fia 1130 2006
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How to fill out the MD DHS/FIA 1130 online
The MD DHS/FIA 1130 form is essential for verifying rental and living arrangements. This guide provides clear, step-by-step instructions on how to complete the form online, ensuring that all necessary information is accurately provided.
Follow the steps to successfully complete the form online.
- Press the ‘Get Form’ button to access the MD DHS/FIA 1130 and open it for completion.
- Fill in the 'Customer Name', 'Client ID', and 'Case Manager' sections at the top of the form. Make sure the information is accurate and aligns with your official records.
- In the 'Telephone' section, enter the relevant phone number for contact purposes.
- Complete the 'District/County' field by specifying the appropriate district or county.
- Input the 'Date' on which you are filling out the form.
- In Section I, provide the 'Tenant' name and 'Date of Occupancy'. Make sure these details are correct.
- Fill in the 'Address' field with the full address of the rental property.
- Indicate the rent charged in the appropriate section, specifying whether it is 'weekly', 'monthly', or 'other', and provide the exact dollar amount.
- The next part of Section I requires you to check yes or no for whether the rent includes various utilities such as heat, electric, cooking, water, and air conditioning.
- If applicable, in Section I, list any separate utility costs, including the type, frequency of payment, amount, and date last billed.
- Confirm if the housing is federally subsidized by checking the appropriate box or boxes.
- Fill in whether the tenant is billed for excess utility usage.
- Proceed to Section II and Section III, providing details about who lives with the tenant and their relationship to the tenant.
- For each individual living with the tenant, indicate whether meals are shared by checking 'Yes' or 'No'.
- Ensure the 'Landlord/Rental Agent Signature' field is signed along with the date of signature. Fill in the printed name, phone, and address of the landlord or rental agent.
- Finally, the customer must sign and date the form at the bottom, confirming the information provided.
Complete your MD DHS/FIA 1130 form online today to ensure a smooth verification process.
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A SNAP reviewer will verify your place of residence. You can submit documentation such as a current lease or a rent receipt if it lists your full legal name and address. You can include a letter from your landlord that verifies your address, a voter registration card, or mortgage records if you own your home.
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