Social services landlord statement form

Social services landlord statement form

Download Social services landlord statement form




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Date added: 13.03.2015
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Yes (*Please read the directions on the back of this form). No. Are you requesting rent be DEPARTMENT OF HUMAN SERVICES LANDLORD STATEMENT.

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These forms are available at your local Community Service Office. Some of these forms Statement from Landlord/Manager(form 14-224). This form is used toDepartment of Social Services Monroe County. Form Purpose. To be completed by landlord only. This department of human services landlord statement is not a **This Form Must Be Completed By The LandLord** of 30 days written notice to your Landlord and Social Services worker of intended move. in the Landlord Statement is true and correct and that the form was completed by the Landlord ERIE COUNTY DEPARTMENT OF SOCIAL SERVICES LANDLORD STATEMENT. LANDLORD: PLEASE COMPLETE ENTIRE FORM lN INK AND SIGN

Temporary Assistance (TA) offers temporary help for needy men, women and children. . Benefits may be issued as cash or in voucher form to your landlord or utility provider. Shelter Verification / Landlord Statement - Attachment #1 Photo ID; Driver's License; U.S.A. Passport; Birth Certificate; Social Security Card. Residence: The address you are currently living at -. Landlord Statement; Utility Bills; Current Rent Statement; Mortgage Book/ Worker's Compensation:. To view all the local Department of Social Services forms, please click on the Housing Package, Housing Package Forms for Tenant, Broker, Landlord. 15. To assist A/R's in obtaining this information, the Department of Social Service [DSS] provides a 'Landlord's Form' [B-1231 or DSS-3668] that is completed and NYS OTDA (Office Of Temporary & Disability Assistance) Forms and Applications LANDLORD STATEMENT FOR FOOD STAMPS ONLY - SocialServices

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