When creating a new document in Microsoft Word, there are a number of formats to choose from. In this blog post, we will explore the different types of Swojfs 2 documents and how they can be used to best effect. Whether you are creating a report, memo or presentation, we will give you some tips on using the Swojfs 2 format for your needs. Stay tuned for more helpful guidance on document creation from our team here at tech-faq!
Question | Answer |
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Form Name | Form Swojfs 2 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | subsidized, subsidy, Caseworkers, SWOJFS |
Southwest Ohio
County Departments of Job & Family Services
County Agency: Clermont County Dept. of Job and Family Services Office of Adult, Child and Family Stability Address: 2400 Clermont Center Dr. Batavia, Ohio 45103 Phone:
Website: www.acfs.clermontcountyohio.gov
HOUSEHOLD MEMBER / SHELTER / UTILITY VERIFICATION
PART I: Case Information: To be completed by the COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES
Case Name:
Case Number:
Date Sent:
Tenant Name: (if different)
Caseworker’s Name / District:
Phone:
PART II: Release of Information: To be read and signed by the TENANT
M y s i g n a t u r e b e l o w m e a n s t h a t I g i v e t h e p e r s o n i n d i c a t e d b e l o w p e r m i s s i o n t o f u r n i s h |
a l l i n f o r m a t i o n a b o u t m e t h a t i s r e q u e s t e d o n |
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t h i s f o r m . I u n d e r s t a n d t h i s i n f o r m a t i o n w i l l b e u s e d t o e s t a b l i s h m y e l i g i b i l i t y f o r p u b l i c |
a s s i s t a n c e . I a l s o g i v e t h e D e p a r t m e n t o f J o b |
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a n d F a m i l y S e r v i c e s p e r m i s s i o n t o c o n t a c t t h i s p e r s o n t o o b t a i n o r c l a r i f y a n y i n f o r m a t i o n c o n t a i n e d o n t h i s f o r m . |
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Tenant Signature: |
Phone: |
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Date: |
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PART III: Household Member Information: To be completed by:
PROPERTY OWNER/PROPERTY MANAGER; or
List all individuals who live at this address: (including children) Use the back of this form if additional space is required.
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Relationship |
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Last 4 digits of |
Date (s)he began or |
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First Name |
Last Name |
Date of Birth |
Social Security |
will begin living at |
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to Tenant |
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(optional) |
Number (optional) |
above address |
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PART IV: |
Tenant/Rent/Utility Info: To be completed by PROPERTY OWNER OR PROPERTY MANAGER ONLY to |
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First Name |
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Last Name |
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Tenant Name(s) who signed the |
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rental agreement: (First & Last) |
First Name |
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Last Name |
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Street Address: |
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Apt. # or Floor: |
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City: |
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State: |
Zip: |
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Enter total amount of monthly rent charged to tenant. (DO |
$ |
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Type of Structure: |
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Check which of the following the tenant |
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NOT include arrearage, late fees, optional fees, lot rent or |
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Single Dwelling |
Apartment Complex |
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must pay themselves: |
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subsidy.) |
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Duplex |
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Other |
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Heat |
Sewer |
Trash |
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Is rent subsidized? |
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$ |
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Mobile Home |
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Gas |
Water |
Phone |
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No; |
Yes – If yes, total amount of monthly subsidy: |
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If mobile home, |
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Electric |
Air Conditioning |
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tenant lot rent: $ |
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Other |
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Does the tenant receive a utility reimbursement check? |
$ |
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Unknown; |
No; |
Yes – If yes, enter amount: |
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My signature below indicates that I completed this form and it is accurate to the best of my knowledge. |
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Signature of person completing form: |
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Address: |
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Phone: |
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Date: |
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Are you the property owner/property manager? |
No; |
Yes |
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Are you someone other than the property owner/property manager? |
No; |
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Yes |
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If yes, specify relationship: |
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SWOJFS 2