WebRepresentative Phone number include area code DHS 7476 3/18 recycle prior versions Page 1 of 7 2. Changes for Employment Related Day Care ERDC child care should be reported on the DHS 0862 Change Report for ERDC. Complete this form and send it to your local DHS office. 2. Attach proof of what you report. Do not wait for this month s pay. WebTo report a change, send in requested documents or ask a question about: Food benefits (SNAP), Cash assistance (TANF) or Child care assistance (ERDC) Contact your local …
Department of Human Services (DHS)
WebMANAGEMENT License Application for Residential Care and Assisted Living Facilities. APD 0570R. SE 0570R Renewal form RCF ALF and NF. APD 0810A. Provider Self Report … WebFeb 1, 2024 · Househol d Report Form (DHS-2120) (PDF).. Combined Six-Month Report (CSR) (DHS-5576) (PDF). Change Report Form (DHS-2402) (PDF) for cash programs. The Change Report Form for the Supplemental Nutrition Assistance Program (DHS-2402B) (PDF) may only be given to Change Reporting units for SNAP. See 0007 (Reporting), … five rx adg
Simplified Change Report For Supplemental Nutrition …
Webreport changes and get too many benefits, you might have to pay them back. Anyone in your home who is age 18 or older could be asked to repay. To report changes, you can … WebThis form lists some things the Oregon Department of Human Services (DHS) will agree to do for you. These are your “rights.” It also lists things you must do when you apply for or get cash, child care or food benefits. These are your “responsibilities.” Please read this form carefully. You can ask DHS staff to explain this form to you. WebFeb 1, 2024 · in SNAP deletes cross-reference to Change Report Form (DHS-2402) and adds cross-reference to Change Report Form for the Supplemental Nutrition Assistance Program (DHS-2402B). 12/2024 in SNAP in the next to the last paragraph adds information on if a change is reported on weekends, holidays, or after hours. 10/2024 fiver wiki