Change the template with exclusive fillable fields. 0 0 9.96 9 re /ProcSet [/PDF]
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m13y e-L}~fd``: Human services e-forms. EMC The verification must be in existing files. endstream
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PDF Termination of Employment Verification - mnhousing
EDAK 0058BEmployment Start and Stop Verification Authorization form allowing release of employment information required for the determination of eligibility for assistance.EDAK 3239Taxi/Limo Driver Income and Expense ReportReport used by participants who are self-employed to report income and expenses each month. /Contents 6 0 R
MFIP/DWP Commonly Used eDocs Forms - dhs.state.mn.us >>
Counties and tribes must use forms developed by DHS for the purposes of informing and advising clients about their rights and responsibilities, the status of an application or recertification, and ongoing eligibility for assistance. Q This form is for clients who have a six-month renewal for health care eligibility or a six-month report for the Supplemental Nutrition Assistance Program (SNAP) due. /Type /Page
DHS 3543 Request for Payment of Long-Term Care ServicesThis form is completed by enrollees who are requesting payment of long-term care services. hbbd```b``"wH`j Hennepin County
(4) Tj See 0010.18.30 (Verifying Student Income and Expenses). Below is a list of frequently requested Human services forms. in SNAP under sub-heading ABAWDs in the 3rd bullet adds and deletes language and cross-references for clarity. The participant's last day of employment was 01/13 and received the last check 1/13. Questions? 557 0 obj
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2.8541 2.7388 Td EDAK 3670 Consent for Release Regarding Utility Shutoffs And/Or EvictionAuthorization form allowing Dakota County Employment & Economic Assistance permission to contact utility companies and/or landlord for information required for determination of eligibility for assistance. Set yourself up for success and utilize the online library to download samples and turn them into . If the injury/disability is temporary, new verification will be needed if the injury/disability extends past the anticipated end date. 0000001677 00000 n
Human services e-forms | Hennepin County /F6 14 0 R
"Verify MN" is another name for the area within SOLQ that provides Social Security information.
DHS 5893 Application for Certificate of Clearance for Medical Assistance Claim - Transfer on Death Deed (PDF)Opens a New Window. 4.9716 TL
There are three variants; a typed, drawn or uploaded signature. /Resources 5 0 R
/Tx BMC
If no other form of verification is available or if the client chooses to use a form to verify residence or shelter expenses, you may use the Authorization for Release of Information About Residence and Shelter Expenses (DHS-2952) (PDF). endstream
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Verification of participation is required every 12 months or when there is a change in the clients participation, whichever comes first. 0000007685 00000 n
FREE 13+ Work Verification Forms in PDF | Ms Word - sampleforms 0016 (Income from People Not in the Unit), Combined Six-Month Review (DHS-5576) (PDF), 0022.03.01.03 (Prospective Budgeting - SNAP Provisions), 0017.15.36 (Student Financial Aid Income), 0017.15.15 (Income of Minor Child/Caregiver Unde. You may also mail any paperwork to our mailing address listed on this page. Immigration status, ONLY if the applicant reports a non-citizen status, including non-citizens, naturalized and derived citizen status. This program was suspended 12/1/14. Additional State forms can be found at: Minnesota Department of Human Services Website, Documents can be submitted to the Economic Assistance Document Upload Portal Here, Instructions for using the portal can be found Here. Document this verbal statement in CASE/NOTEs. The participant's last day of employment was 01/13 and received the last check 1/13. 481 0 obj
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0 0 9.96 9 re Verify only counted income. endstream
Select the link to download, print or save to your computer. The stop work order shall be in writing and issued to the owner of the property . This information can be obtained from the client's Employment Services Provider. %PDF-1.6
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1. Require the client to complete only those items needed to determine eligibility or benefit for the program(s) the client is requesting or receiving. OF MINOR CRGVR, 0016.18.01 - 200 PERCENT OF FEDERAL POVERTY GUIDELINES, 0016.21 - INCOME OF SPONSORS OF IMMIGRANTS WITH I-134, 0016.21.03 - INCOME OF SPONSORS OF LPRS WITH I-864, 0016.27 - INCOME FROM SPOUSES WHO CHOOSE NOT TO APPLY, 0016.33 - INCOME OF INELIGIBLE NON-CITIZENS, 0016.39 - INCOME OF TIME-LIMITED RECIPIENTS, 0017.03 - AVAILABLE OR UNAVAILABLE INCOME, 0017.09 - CONVERTING INCOME TO MONTHLY AMOUNTS, 0017.12 - DETERMINING IF INCOME IS EARNED OR UNEARNED, 0017.15.03 - CHILD AND SPOUSAL SUPPORT INCOME, 0017.15.12 - INFREQUENT, IRREGULAR INCOME, 0017.15.15 - INCOME OF MINOR CHILD/CAREGIVER UNDER 20, 0017.15.18 - EMPLOYMENT, TRAINING, AND NATIONAL SERVICE INCOME, 0017.15.33.03 - SELF-EMPLOYMENT, CONVERT INC. TO MONTHLY AMT, 0017.15.33.24 - SELF-EMPLOYMENT INCOME FROM FARMING, 0017.15.33.27 - SELF-EMPLOYMENT INCOME FROM ROOMER/BOARDER, 0017.15.33.30 - SELF-EMPLOYMENT INCOME FROM RENTAL PROPERTY, 0017.15.36 - STUDENT FINANCIAL AID INCOME, 0017.15.36.03 - WHEN TO BUDGET STUDENT FINANCIAL AID, 0017.15.36.06 - IDENTIFYING TITLE IV OR FEDERAL STUDENT AID, 0017.15.36.09 - STUDENT FINANCIAL AID DEDUCTIONS, 0017.15.42 - INTEREST AND DIVIDEND INCOME, 0017.15.45.03 - HOW TO DETERMINE GROSS RSDI, 0017.15.48 - DISPLACED HOMEMAKER PROGRAM INCOME, 0017.15.51 - PAYMENTS RESULTING FROM DISASTER DECLARATION, 0017.15.54 - CAPITAL GAINS AND LOSSES AS INCOME, 0017.15.57 - PAYMENTS TO PERSECUTION VICTIMS, 0017.15.63 - RELATIVE CUSTODY ASSISTANCE GRANTS, 0017.15.78 - NATIONAL AND COMMUNITY SERVICE PROGRAMS, 0017.15.84 - CONTRACTS FOR DEED AS INCOME, 0018.06.06 - PLAN TO ACHIEVE SELF-SUPPORT (PASS), 0018.12.03 - ALLOWABLE SNAP MEDICAL EXPENSES, 0018.15.03 - SHELTER DEDUCTION - HOME TEMPORARILY VACATED, 0018.33 - CHILD AND SPOUSAL SUPPORT DEDUCTIONS, 0018.39 - PRIOR AND OTHER INCOME REDUCTIONS, 0018.42 - INCOME UNAVAILABLE IN FIRST MONTH, 0019.03 - GROSS INCOME TEST - WHAT INCOME TO USE, 0019.09 - GIT FOR SEPARATE ELDERLY DISABLED UNITS, 0020.03 - PEOPLE EXEMPT FROM NET INCOME LIMITS, 0020.06 - CHOOSING THE ASSISTANCE STANDARD TABLE, 0022 - BUDGETING AND BENEFIT DETERMINATION, 0022.03 - HOW AND WHEN TO USE PROSPECTIVE BUDGETING, 0022.03.01 - PROSPECTIVE BUDGETING - PROGRAM PROVISIONS, 0022.03.01.03 - PROSPECTIVE BUDGETING - SNAP PROVISIONS, 0022.03.03 - INELIGIBILITY IN A PROSPECTIVE MONTH - CASH, 0022.03.04 - INELIGIBILITY IN A PROSPECTIVE MONTH - SNAP, 0022.06 - HOW AND WHEN TO USE RETROSPECTIVE BUDGETING, 0022.06.03 - WHEN NOT TO BUDGET INCOME IN RETRO. Residency in Minnesota, unless verification cannot be obtained because the people are homeless, migrant farmworkers, or newly arrived in Minnesota.
Stop Work Form Hennepin County - Fill and Sign Printable Template Online 4.8399 TL /O 4
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In addition it is allowable to use SOLQ-I as verification of identity. q BT Please turn on JavaScript and try again. 0000005955 00000 n
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We would like to show you a description here but the site won't allow us. /StructTreeRoot 32 0 R
Some Spanish forms are also available. RESPONSIBILITIES, 0028.03.01 - COUNTY AND TRIBAL NATION SNAP E&T RESPONSIBILITIES, 0028.03.02 - ES PROVIDER RESPONSIBILITIES - SNAP E&T, 0028.03.03 - EMPLOYMENT SERVICES/SNAP E&T REQUIRED COMPONENTS, 0028.03.06 - DETERMINING SNAP PRINCIPAL WAGE EARNER, 0028.03.09 - REPORTING CHANGES TO JOB COUNSELOR, 0028.06.02 - UNIVERSAL PARTICIPATION PROVISIONS, 0028.06.03 - WHO MUST PARTICIPATE IN EMPL. <<
H EMC Choose My Signature. 0000019554 00000 n
Identity may be verified through a document, or if a document is not available a collateral contact can be used.
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GEN 280 Drug Felony Release form - This form is used to allow Economic Assistance to obtain information regarding drug test results. See 0017.15.15 (Income of Minor Child/Caregiver Under 20).
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CC0100 Plumbing Work Experience Form. Non-Mandatory Verifications
Share your form with others Send it via email, link, or fax.
Forms - Minneapolis Public Housing Authority 0000007708 00000 n
2023 Minnesota Department of Human Services, 0007.15 (Unscheduled Reporting of Changes - Cash), Verification Request Form (DHS-2919) (PDF), 0010.15 (Verification - Inconsistent Information), 0010.18.11 (Verifying Citizenship and Immigration Status), 0010.18.11.03 (Systematic Alien Verification (SAVE)), 0011.03.27 (Undocumented and Non-Immigrant People), (Mandatory Verifications - Cash Assistance). When used, this form also meets any monthly report requirement clients may have for cash, SNAP or health care programs. /L 0000026108
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0zb%Ynl!?$(_)UkggTRHTQ?[LIt_=?I}~J@NxO?3O~CJK? 5}X}t^ x{Jk? W SERVICES SANCTIONS, 0028.30.04.03 - POST 60-MONTH SANCTIONS: 2-PARENT PROVISIONS, 0028.30.06 - SANCTIONS FOR NOT MEETING SNAP WORK RULE, 0028.30.09 - REFUSING OR TERMINATING EMPLOYMENT, 0028.30.12 - SANCTION NOTICE FOR MINOR CAREGIVER, 0028.33 - EMPLOYMENT SERVICES/SNAP E&T NOTICE REQUIREMENTS, 0029.03.06 - FAMILY SUPPORT GRANT PROGRAM, 0029.03.09 - CONSUMER SUPPORT GRANT PROGRAM, 0029.03.18 - RELATIVE CUSTODY ASSISTANCE PROGRAM, 0029.06.03 - SUPPLEMENTAL SECURITY INCOME PROGRAM, 0029.06.06 - RETIREMENT, SURVIVORS AND DISABILITY INSURANCE, 0029.06.21 - UNITED STATES REPATRIATION PROGRAM, 0029.06.24.03 - TRIBAL TANF - MILLE LACS BAND OF OJIBWE, 0029.06.24.06 - TRIBAL TANF - RED LAKE BAND OF CHIPPEWA INDIANS, 0029.07.03 - MINNESOTA STATE FOOD BENEFITS, 0029.07.09 - WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM, 0029.07.12 - COMMODITY SUPPLEMENTAL FOOD PROGRAM, 0029.07.15 FOOD DISTRIBUTION PROGRAM-INDIAN RESERVATION, 0029.20.09 - FAMILY HOMELESS PREVENTION ASSISTANCE, 0029.27 - LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, 0029.31 - CHILD CARE RESOURCE AND REFERRAL, 0030.03.01.01 - INELIGIBLE FOR OTHER CASH PROGRAMS, 0030.03.09 - DETERMINING RCA GROSS INCOME, 0030.03.16 - PROCESSING REPORTED CHANGES - RCA, 0030.03.18 - RCA OVERPAYMENTS AND UNDERPAYMENTS, 0030.12.03 - RCA POST-SECONDARY EDUCATION/TRAINING, 0030.12.06 - RCA EMPLOYMENT SERVICES GOOD CAUSE CLAIMS. If you are not able to find the form you are looking for, search for additional forms below: Searchable document library (eDocs) / Minnesota Department of Human Services (mn.gov) Contact a human services representative Phone: 612-596-1300 M-F, 8 a.m. to 4:30 p.m. 0 0 9.96 9 re /Length 4196
0.749023 g The advanced tools of the editor will direct you through the editable PDF template. If the injury/disability is expected to last indefinitely, verification is only needed once. endstream
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Do not run a Systematic Alien Verifications for Entitlements (SAVE) report unless you have determined that the applicant meets all other program requirements and the client would be eligible for benefits if the immigration status requirement is met.
Employment start date: . /ZaDb 5.1626 Tf /ZaDb 5.0258 Tf This change was EFFECTIVE 02/01/16. endstream
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Verification is needed that the client is enrolled in the program and can be obtained by contacting your local resettlement agency. DHS 2120-ENG Household Report Form for MFIP/DWPReporting form used by clients to report income, asset and circumstance changes usually on a scheduled basis. EMC Please seek professional legal advice if you are not sure this is the correct form for your situation. Removed WB.
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EMC - Participants of Refugee Cash Assistance (RCA) when they are working with a Refugee Employment Services Provider. CASES, 0022.09 - WHEN TO SWITCH BUDGET CYCLES - CASH, 0022.09.03 - WHEN TO SWITCH BUDGET CYCLES - SNAP, 0022.12 - HOW TO CALC. (4) Tj 0000005978 00000 n
0002.05 - GLOSSARY: ASSISTANCE STANDARD 0002.17 - GLOSSARY: DISPLACED HOMEMAKER 0002.41 - GLOSSARY: MEDICALLY NECESSARY 0003 - CLIENT RESPONSIBILITIES AND RIGHTS, 0003.03 - CLIENT RESPONSIBILITIES - GENERAL, 0003.06 - CLIENT RESPONSIBILITIES - QUALITY CONTROL, 0003.09.03 - CLIENT RIGHTS - CIVIL RIGHTS, 0003.09.06 - CLIENT RIGHTS - DATA PRIVACY PRACTICES, 0003.09.09 - CLIENT RIGHTS, PRIVATE AND CONFIDENTIAL DATA, 0003.09.12 - CLIENT RIGHTS - LIMITED ENGLISH PROFICIENCY, 0004.01 - EMERGENCIES - PROGRAM PROVISIONS, 0004.03 - EMERGENCY AID ELIGIBILITY - CASH ASSISTANCE, 0004.04 - EMERGENCY AID ELIGIBILITY--SNAP/EXPEDITED FOOD, 0004.06 - EMERGENCIES - 1ST MONTH PROCESSING, 0004.09 - EMERGENCIES - 2ND AND 3RD MONTH PROCESSING, 0004.12 - VERIFICATION REQUIREMENTS FOR EMERGENCY AID, 0004.15 - EMERGENCIES - POSTPONED VERIFICATION NOTICE, 0004.18 - DETERMINING THE AMOUNT OF EMERGENCY AID, 0004.48 - DESTITUTE UNITS--MIGRANT/SEASONAL FARMWORKER, 0004.51 - DESTITUTE UNITS, ELIGIBILITY AND BENEFITS, 0005.06.03 - WHO CAN/CANNOT BE AUTHORIZED REPRESENTATIVES, 0005.06.06 - DISQUALIFYING AUTHORIZED REPRESENTATIVES, 0005.09 - COMBINED APPLICATION FORM (CAF), 0005.09.03 - WHEN PEOPLE MUST COMPLETE AN APPLICATION, 0005.09.06 - WHEN NOT TO REQUIRE COMPLETION OF AN APPLICATION, 0005.09.09 - WHEN TO USE AN ADDENDUM TO AN APPLICATION, 0005.09.15 - EMERGENCY ASSISTANCE AND APPLICATIONS, 0005.10 - MINNESOTA TRANSITION APPLICATION FORM (MTAF), 0005.12 - ACCEPTING AND PROCESSING APPLICATIONS, 0005.12.03 - WHAT IS A COMPLETE APPLICATION, 0005.12.12.01 - FORMS/HANDOUTS FOR APPLICANTS, 0005.12.12.06 - ORIENTATION TO FINANCIAL SERVICES, 0005.12.12.09 - FAMILY VIOLENCE PROVISIONS/REFERRALS, 0005.12.15 - APPLICATION PROCESSING STANDARDS, 0005.12.15.01 - PROCESSING SNAP APPLICATION NON-MANDATORY VERIFICATION, 0005.12.15.03 - DELAYS IN PROCESSING APPLICATIONS, 0005.12.15.06 - DETERMINING WHO CAUSED THE DELAY, 0005.12.15.09 - DELAYS CAUSED BY THE APPLICANT HOUSEHOLD, 0005.12.15.12 - DELAYS CAUSED BY THE AGENCY, 0005.12.15.15 - DELAYS CAUSED BY THE AGENCY AND APPLICANT, 0005.12.21 - REINSTATING A WITHDRAWN APPLICATION, 06 - DETERMINING FINANCIAL RESPONSIBILITY, 0006 - DETERMINING FINANCIAL RESPONSIBILITY, 0006.06 - MOVING BETWEEN COUNTIES - PARTICIPANTS, 0006.09 - MOVING BETWEEN COUNTIES - MINOR CHILDREN, 0006.12 - ASSISTANCE TERMINATED WITHIN LAST 30 DAYS, 0006.15 - MULTIPLE COUNTY FINANCIAL RESPONSIBILITY, 0006.18 - EXCLUDED TIME FACILITIES AND SERVICES, 0006.21 - TRANSFERRING RESPONSIBILITY - OLD COUNTY, 0006.24 - TRANSFERRING RESPONSIBILITY - NEW COUNTY, 0006.27 - COUNTY FINANCIAL RESPONSIBILITY DISPUTES, 0006.30 - STATE FINANCIAL RESPONSIBILITY DISPUTES, 0007.03.01 - MONTHLY REPORTING - UNCLE HARRY FS, 0007.03.04 - SIX-MONTH REPORTING DEADLINES, 0007.03.07 - PROCESSING A LATE COMBINED SIX-MONTH REPORT, 0007.12 - AGENCY RESPONSIBILITIES FOR CLIENT REPORTING, 0007.15 - UNSCHEDULED REPORTING OF CHANGES - CASH, 0007.15.03 - UNSCHEDULED REPORTING OF CHANGES - SNAP, 0008.03 - CHANGES - OBTAINING INFORMATION, 0008.06 - IMPLEMENTING CHANGES - GENERAL PROVISIONS, 0008.06.01 - IMPLEMENTING CHANGES - PROGRAM PROVISIONS, 0008.06.03 - CHANGE IN BASIS OF ELIGIBILITY, 0008.06.06 - ADDING A PERSON TO THE UNIT - CASH, 0008.06.07 - ADDING A PERSON TO THE UNIT - SNAP, 0008.06.09 - REMOVING A PERSON FROM THE UNIT, 0008.06.12.09 - CONVERTING A PREGNANT WOMAN CASE, 0008.06.15 - REMOVING OR RECALCULATING INCOME, 0008.06.21 - CHANGE IN COUNTY OF RESIDENCE, 0008.06.24 - DWP CONVERSION OR REFERRAL TO MFIP, 0009.03 - LENGTH OF RECERTIFICATION PERIODS, 0009.03.03 - WHEN TO ADJUST THE LENGTH OF CERTIFICATION, 0009.06.03 - RECERTIFICATION PROCESSING STANDARDS, 0009.06.03.03 - PROCESSING SNAP RECERTIFICATION NON-MANDATORY VERIFICATION, 0010.03 - VERIFICATION - COOPERATION AND CONSENT, 0010.06 - SOURCES OF VERIFICATION - DOCUMENTS, 0010.09 - SOURCES OF VERIFICATION, COLLATERAL CONTACTS, 0010.12 - SOURCES OF VERIFICATION - HOME VISITS, 0010.15 - VERIFICATION - INCONSISTENT INFORMATION, 0010.18.01 - MANDATORY VERIFICATIONS - CASH ASSISTANCE, 0010.18.02.03 - NON-MANDATORY VERIFICATIONS - SNAP, 0010.18.03 - VERIFYING SOCIAL SECURITY NUMBERS, 0010.18.03.03 - VERIFYING SOCIAL SECURITY NUMBERS - NEWBORNS, 0010.18.05 - VERIFYING DISABILITY/INCAPACITY - CASH, 0010.18.06 - VERIFYING DISABILITY/INCAPACITY - SNAP, 0010.18.08 - VERIFYING STATE RESIDENCE - CASH, 0010.18.09 - VERIFYING SELF-EMPLOYMENT INCOME, 0010.18.11 - VERIFYING CITIZENSHIP AND IMMIGRATION STATUS, 0010.18.11.03 - SYSTEMATIC ALIEN VERIFICATION (SAVE), 0010.18.12 - VERIFYING LAWFUL TEMPORARY RESIDENCE, 0010.18.15 - VERIFYING LAWFUL PERMANENT RESIDENCE, 0010.18.15.03 - LAWFUL PERMANENT RESIDENT: USCIS CLASS CODES, 0010.18.15.06 - VERIFYING SOCIAL SECURITY CREDITS, 0010.18.18 - VERIFYING SPONSOR INFORMATION, 0010.18.21 - IDENTIFY NON-IMMIGRANT OR UNDOCUMENTED PEOPLE, 0010.18.21.03 - NON-IMMIGRANT PEOPLE: USCIS CLASS CODES, 0010.18.30 - VERIFYING STUDENT INCOME AND EXPENSES, 0010.24 - INCOME AND ELIGIBILITY VERIFICATION SYSTEM, 0010.24.03 - IEVS MATCH TYPE AND FREQUENCY, 0010.24.09 - PROCESSING IEVS MATCHES TIMELY, 0010.24.12 - DETERMINING IEVS EFFECT ON ELIGIBILITY, 0010.24.15 - RECORDING IEVS RESOLUTION FINDINGS, 0010.24.18 - CLIENT COOPERATION WITH IEVS, 0010.24.21 - IEVS SAFEGUARDING RESPONSIBILITIES, 0010.24.24 - IEVS NON-DISCLOSURE AND EMPLOYEE AWARENESS, 0011.03 - CITIZENSHIP AND IMMIGRATION STATUS, 0011.03.03 - NON-CITIZENS - MFIP/DWP CASH, 0011.03.06 - NON-CITIZENS - MFIP FOOD PORTION, 0011.03.09 - NON-CITIZENS - SNAP/MSA/GA/GRH, 0011.03.12 - NON-CITIZENS - LAWFUL PERMANENT RESIDENTS, 0011.03.12.03 - NON-CITIZENS - ADJUSTMENT OF STATUS, 0011.03.15 - NON-CITIZENS - LPR WITH SPONSORS, 0011.03.17 - NON-CITIZENS - PUBLIC CHARGE, 0011.03.18 - NON-CITIZENS - PEOPLE FLEEING PERSECUTION, 0011.03.21 - NON-CITIZENS - VICTIMS OF BATTERY/CRUELTY, 0011.03.24 - NON-CITIZENS - LAWFULLY RESIDING PEOPLE, 0011.03.27 - UNDOCUMENTED AND NON-IMMIGRANT PEOPLE, 0011.03.27.01 - NON-CITIZENS - CITIZENS OF PALAU, THE FEDERATED STATES OF MICRONESIA, AND THE REPUBLIC OF THE MARSHALL ISLANDS, 0011.03.27.03 - PROTOCOLS FOR REPORTING UNDOCUMENTED PEOPLE, 0011.03.30 - NON-CITIZENS - TRAFFICKING VICTIMS, 0011.03.33 - NON-CITIZENS - IMMIGRATION COURT ORDERS, 0011.06.03 - STATE RESIDENCE - EXCLUDED TIME, 0011.06.06 - STATE RESIDENCE - INTERSTATE PLACEMENTS, 0011.06.09 - STATE RESIDENCE - 30-DAY REQUIREMENT, 0011.12.01 - DRUG ADDICTION OR ALCOHOL TREATMENT FACILITY, 0011.12.03 - UNDER CONTROL OF THE PENAL SYSTEM, 0011.30.06 - 180 TO 60 DAYS BEFORE MFIP CLOSES, 0011.33.02 - MFIP HARDSHIP EXTENSIONS - REMOVING 1 PARENT, 0011.33.03 - MFIP EMPLOYED EXTENSION CATEGORY, 0011.33.03.03 - LIMITED WORK DUE TO ILLNESS/DISABILITY, 0011.33.06 - MFIP HARD TO EMPLOY EXTENSION CATEGORY, 0011.33.09 - MFIP ILL/INCAPACITATED EXTENSION CATEGORY, 0012.06 - REQUIREMENTS FOR CAREGIVERS UNDER 20, 0012.12.03 - INTERIM ASSISTANCE AGREEMENTS, 0012.12.06 - SPECIAL SERVICES - APPLYING FOR SOCIAL SECURITY, 0012.15 - INCAPACITY AND DISABILITY DETERMINATIONS, 0012.15.03 - MEDICAL IMPROVEMENT NOT EXPECTED (MINE) LIST, 0012.15.06 - STATE MEDICAL REVIEW TEAM (SMRT), 0012.15.06.03 - SMRT - SPECIFIC PROGRAM REQUIREMENTS, 0012.21 - RESPONSIBLE RELATIVES NOT IN THE HOME, 0012.21.03 - SUPPORT FROM NON-CUSTODIAL PARENTS, 0012.21.06 - CHILD SUPPORT GOOD CAUSE EXEMPTIONS, 0013.03.03 - PREGNANT WOMAN BASIS - MFIP/DWP, 0013.03.06 - MFIP BASIS - STATE-FUNDED CASH PORTION, 0013.06 - SNAP CATEGORICAL ELIGIBILITY/INELIGIBILITY, 0013.09.09 - MSA BASIS - DISABLED AGE 18 AND OLDER, 0013.15.03 - GA BASIS - PERMANENT ILLNESS, 0013.15.06 - GA BASIS - TEMPORARY ILLNESS, 0013.15.09 - GA BASIS - CARING FOR ANOTHER PERSON, 0013.15.12 - GA BASIS - PLACEMENT IN A FACILITY, 0013.15.27 - GA BASIS, SSD/SSI APPLICATION/APPEAL PENDING, 0013.15.33 - GA BASIS - DISPLACED HOMEMAKERS, 0013.15.39 - GA BASIS - PERFORMING COURT ORDERED SERVICES, 0013.15.42 - GA BASIS - LEARNING DISABLED, 0013.15.48 - GA BASIS - ENGLISH NOT PRIMARY LANGUAGE, 0013.15.51 - GA BASIS - PEOPLE UNDER AGE 18, 0013.15.54 - GA BASIS - DRUG/ALCOHOL ADDICTION, 0013.18.09 - GRH BASIS - DISABLED AGE 18 AND OLDER, 0013.18.12 - GRH BASIS - REQUIRES SERVICE IN RESIDENCE, 0013.18.15 - GRH BASIS - PERMANENT ILLNESS, 0013.18.18 - GRH BASIS - TEMPORARY ILLNESS, 0013.18.27 - GRH BASIS - SSD/SSI APPL/APPEAL PEND, 0013.18.33 - GRH BASIS - LEARNING DISABLED, 0013.18.36 - GRH BASIS - DRUG/ALCOHOL ADDICTION, 0013.18.39 - GRH BASIS - TRANSITION FROM RESIDENTIAL TREATMENT, 0014.03 - DETERMINING THE ASSISTANCE UNIT, 0014.03.03 - DETERMINING THE CASH ASSISTANCE UNIT, 0014.03.03.03 - OPTING OUT OF MFIP CASH PORTION, 0014.06 - WHO MUST BE EXCLUDED FROM ASSISTANCE UNIT, 0014.09 - ASSISTANCE UNITS - TEMPORARY ABSENCE, 0014.12 - UNITS FOR PEOPLE WITH MULTIPLE RESIDENCES, 0015.06.03 - AVAILABILITY OF ASSETS WITH MULTIPLE OWNERS, 0015.30 - ASSETS - PAYMENTS UNDER FEDERAL LAW, 0015.48.03 - WHOSE ASSETS TO CONSIDER - SPONSORS W/I-864, 0015.48.06 - WHOSE ASSETS TO CONSIDER - SPONSORS W/I-134, 0015.63 - EVALUATION OF PENSION AND RETIREMENT PLANS, 0015.69.03 - ASSET TRANSFERS FROM SPOUSE TO SPOUSE, 0015.69.09 - IMPROPER TRANSFER INELIGIBILITY, 0015.69.12 - IMPROPER TRANSFERS - ONSET OF INELIGIBILITY, 0016 - INCOME FROM PEOPLE NOT IN THE UNIT, 0016.03 - INCOME FROM DISQUALIFIED UNIT MEMBERS, 0016.06 - INCOME FROM INELIGIBLE SPOUSE OF UNIT MEMBER, 0016.09 - INCOME FROM INELIGIBLE STEPPARENTS, 0016.12 - INCOME FROM PARENTS OF ADULT GA CHILDREN, 0016.18 - INCOME OF INEL.