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Reporting Changes
The following is a list
of changes in circumstances
that need to be reported to the agency.
Changes may be reported
by mailing the information to the Holmes County Department of Job &
Family Services, dropping off a copy at the Agency, by faxing the
information or by calling your case manager.
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Change of Address
- Your name
- Your Social Security Number
- Your new address
- Zip Code
- Date change occurred
- Verification of new rent and
utilities.
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Change of Employment
- Name of Person Employed
- Date Hired
- Name of Employer
- Pay Rate
- Number of Hours worked per week
If your
employment has stopped:
- Name of Person Unemployed
- Social Security Number
- Name of Former Employer
- Last Date of Employment
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New Member in Family
- Name of Child
- Date of Birth
- Male or Female
- The baby's father's
name
- If the baby's father
is not in the home, any information you have about him.
(address, Social Security number, date of birth, place of
employment, phone number, etc.)
If
someone moves into your household:
- Name
- Date of Birth
- Social Security Number
- Proof of Income
- New member's relationship to head of
household
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Change of Income
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Unearned income such as
Social Security, Veterans benefits, unemployment
compensation benefits, etc.:
- Your Name
- Social Security Number
- Amount of Income
Received Monthly
If
unearned income has stopped:
- Your Name
- Social Security Number
- Source of Income
- Date Income Stopped
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85 N. Grant St., P.O. Box 72
Millersburg, OH 44654
(330)674-1111 or (800)971-7979
Fax:(330)674-0770 - TTY (330)674-0966
Hours: Monday - Friday 7:30 AM - 4:30 PM
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