DOCUMENTS REQUIRED FOR YOUR RECERTIFICATION PACKET

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1A Lowndes Avenue Huntington Station, 11746 (631) 427-6220 - Fax (631) 427-6288 DOCUMENTS REQUIRED FOR YOUR RECERTIFICATION PACKET If any member of your household receives any of the following types of income listed below, please provide the following: Mailing name, address and telephone number of the source of income and documentation about current amounts received. (For example, Award Letters, copies of paystubs). I. INFORMATION ABOUT YOUR HOUSEHOLD INCOME AND ASSETS: A) EMPLOYMENT INCOME FOR EVERY MEMBER OF YOUR HOUSEHOLD THAT IS WORKING, PLEASE PROVIDE THE FOLLOWING: 1.

owner will be provided with a 30 day written notice of termination which states: o the reasons for the termination. o the effective date of the termination. o the family’s right to request an informal hearing. anyone 18 or older must sign below. i have read the above and understand what i …

  Request, Termination