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HCV Resources


*Please only view the above video if you have received a formal letter to attend an eligibility briefing for the HCV program.

*Please click here to send documentation if you do not have specific contact information for staff.

For information on the below forms or to obtain a copy, please click here to contact us.

  • Report of Changes Form
  • Child Support Verification Form
  • Citizenship Certification
  • Authorization to Release Information
  • Authorization to Release Police Records
  • Employment Verification
  • Verification of Income provided by Parent/Other
  • Verification of Benefits Received
  • Case Information Release
  • Verification of Amounts Paid for Care of Children/Dependents
  • Verification of Financial Data
  • Self-Employment Income Verification
  • Verification of Student Status
  • Unemployment Benefit Verification
  • Violence Against Women Act (VAWA) Packet
  • Notice of Intent to Move