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Food Stamp Forms

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Forms you can print and file

General Application for Assistance (DHS 1171) 16 page PDF

by: Michigan Department of Human Services
 
Filing Form (DHS 1171-F) PDF
The timeline that DHS must follow when processing an application begins when a few basic pieces of information are turned in. The application does not have to be complete to get the clock started - just your name, address (or statement of homelessness), signature and date can start the clock. This filing form is much shorter than the entire application and includes all of the information necessary to get the timeline started. If you don’t have time to fill out the entire application you can turn in this basic information immediately, then turn in the full application once you have completed it.
by: Michigan Department of Human Services
 
Request for Hearing PDF
Use this form to request a hearing through DHS. You can also request a hearing by signing the back of your DHS notice, by writing a note to your caseworker, or by calling your caseworker and asking for a hearing orally.
by: Michigan Department of Human Services
 
Appointment of Authorized Representative (sample form) PDF
Use this form to appoint an authorized representative. An authorized representative should know about your family’s situation and have information about your income and expenses. This person can be a friend, family member, agency staff person, or anyone else you trust. This person must be age 18 or older.
 
Consent to Release Information (sample form) [Also in PDF]
Use this form to give DHS permission to discuss your case with a particular person. Normally caseworkers must keep all information about your case confidential.

Created by steve
Last modified 2008-06-09 11:01