MI DHS-681 2021-2025 free printable template
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STATE OF M ICHIGAN RICK SNYDER GOVERNOR DEPARTMENT OF HEALTH AND HUMAN SERVICES LANSING NICK LYON DIRECTOR REQUEST TO DISCHARGE STATE-OWED DEBT If you think you have good reasons for the Friend of the Court FOC to discharge forgive or waive your state-owed debt please complete all information on this form and return it to the FOC office where your court order is located. You may include more pages if you need more space. You may be asked to fill out more paperwork or provide proof of any of...
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How to fill out MI DHS-681
01
Obtain the MI DHS-681 form from the Michigan Department of Health and Human Services website or office.
02
Read the instructions carefully to understand the purpose of the form.
03
Fill in your personal information at the top of the form, including your name, address, and contact details.
04
Complete the sections related to your household composition, including information about all members living in your home.
05
Provide detailed information about your income, including sources and amounts.
06
Fill out any relevant questions about expenses, assets, and other financial information as required by the form.
07
Review the completed form for accuracy and ensure all required fields are filled out.
08
Sign and date the form where indicated.
09
Submit the completed form to your local MI DHS office or through the specified submission method.
Who needs MI DHS-681?
01
Individuals and families who are applying for assistance programs under the Michigan Department of Health and Human Services may need to fill out MI DHS-681.
02
People seeking food assistance, cash assistance, or medical assistance are required to complete this form.
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What is MI DHS-681?
MI DHS-681 is a form used by the Michigan Department of Health and Human Services for reporting specific information related to public assistance programs.
Who is required to file MI DHS-681?
Individuals who are receiving public assistance benefits or those who are required to report certain information as part of their assistance program must file MI DHS-681.
How to fill out MI DHS-681?
To fill out MI DHS-681, individuals must provide specific personal and financial information as required on the form, ensuring all sections are completed accurately before submission.
What is the purpose of MI DHS-681?
The purpose of MI DHS-681 is to gather necessary information from recipients of public assistance to ensure compliance with program requirements and eligibility determination.
What information must be reported on MI DHS-681?
Information that must be reported on MI DHS-681 includes personal details, income sources, household composition, and any changes that may affect eligibility for assistance programs.
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