WebSHELTER VERIFICATION Verification Due Date All pages need to be completed and returned. Your shelter obligation must be verified by the verification due date in the box above. You may give this form to your landlord, mortgage company or land contract holder for completion, or you may provide other proofs, such as: WebLDSS-3668 (Rev. 11/15) SHELTER VERIFICATION Local District Name and Address: Case Number: Worker ID: Case Name and Address: Dear ... In order to complete our evaluation of this case, we need information regarding household composition and shelter expenses. This form is for verification purposes only, and does not imply any obligation on ...
16 INF-05 - Revised LDSS-3668: “Shelter Verification” Form
Websnap housing verification form for suffolk county ny rating ... NY 11729, 631-854-6600. Smithtown Center, 200 Wireless Blvd, Hauppauge, NY 11788, 631-853-8714. How do I apply for Medicaid in Suffolk County NY? Apply Online: nystateofhealth.ny.gov. ... What is shelter verification? WebIf you have questions, please contact our Agency between the hours of 9:00 a.m. to 5:00 p.m. at (518) 719-3700 or email at: [email protected]. If the Agency is closed and you are in need of immediate assistance, please call the Greene County Emergency Control Department at (518) 622-3344, and request to have the on-call caseworker contact ... boulder station las vegas hotel and casino
Forms OTDA - New York State Office of Temporary and …
WebALBANY, NY 12243 -0001 David A. Paterson Governor Informational Letter Section 1 Transmittal: 10-INF-12 To: Local District Commissioners Issuing Division/Offi ce: Center … Webcase, we need information regarding household composition and shelter expenses. This form is for verification purposes only, and does not imply any obligation on the part of this … WebSubject: Revised LDSS-3668: “Shelter Verification” Form Suggested Distribution: Local District Commissioners; TA Directors; SNAP Directors; HEAP Coordinators; Employment … boulders tennis club