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Get Or Dhs 0852 2012-2025
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How to use or fill out the OR DHS 0852 online
The OR DHS 0852 form is an essential document for users seeking to maintain their benefits under the Supplemental Nutrition Assistance Program (SNAP) and Employment Related Day Care (ERDC). Accurately completing this form ensures that benefits can continue without interruption.
Follow the steps to effectively complete the OR DHS 0852 form online.
- Click ‘Get Form’ button to access the OR DHS 0852 document and open it in the online editor.
- Begin filling out the form by entering your program, branch, case number, worker ID, and case name at the top of the document.
- Provide your home address, city, state, ZIP code, phone number, and mailing address if different from your home address.
- Indicate if you pay for housing by selecting 'Yes' or 'No'. If 'Yes', enter your monthly housing payment and any additional housing costs.
- List all individuals living at your address, providing their names, relationships to you, genders, dates of birth, and whether they wish to receive SNAP and/or ERDC benefits.
- For any additional income, indicate whether anyone in your household receives money from sources such as Social Security or unemployment compensation. Document the amounts and payment frequency.
- Detail employment information for everyone working in your household, including employer details, job titles, hourly pay, work hours, and any additional earnings.
- If applicable, provide information about child support payments and if there have been any changes to the court-order.
- List work schedules for child care needs and the contact information of care providers involved. Indicate any special child care needs.
- Review all the entered information for accuracy, sign and date the form before submission.
- Once completed, save changes or download the form. You can also print it or share it as needed.
Ensure your benefits remain uninterrupted by completing the OR DHS 0852 form online today.
Related links form
New York has periodically issued extra food stamp benefits to lower-income families, especially during emergencies. Ensure you stay updated on announcements related to these benefits through the New York State Office of Temporary and Disability Assistance. Resources like OR DHS 0852 can help clarify any changes and ensure you are informed about your benefits.
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