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DHS 3163B ENG Referral to Support and Collections This Form is Used by Minnesota Family Investment Program, Diversionary Work Pr

DHS 3163B ENG Referral to Support and Collections This Form is Used by Minnesota Family Investment Program, Diversionary Work Pr

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Understanding the DHS 3163B ENG Referral To Support And Collections

The DHS 3163B ENG Referral To Support And Collections is a crucial form utilized by recipients of various Minnesota assistance programs, including the Family Investment Program, Diversionary Work Program, Medical Assistance, and Child Care Assistance. This form serves to initiate a referral to the local Child Support Agency, facilitating the collection of child support payments. It is designed to ensure that children receive the financial support they need from non-custodial parents.

How to Use the DHS 3163B ENG Referral To Support And Collections

Using the DHS 3163B form involves several straightforward steps. First, recipients must fill out their personal information accurately, including names, addresses, and contact details. Next, they should provide information about the non-custodial parent, including their name and any known details about their employment or income. Once completed, the form must be submitted to the appropriate local Child Support Agency to initiate the referral process.

Steps to Complete the DHS 3163B ENG Referral To Support And Collections

Completing the DHS 3163B form requires careful attention to detail. Follow these steps:

  • Gather necessary personal information and details about the non-custodial parent.
  • Fill out the form legibly, ensuring all sections are completed.
  • Review the form for accuracy before submission.
  • Submit the completed form to your local Child Support Agency, either in person or by mail.

Key Elements of the DHS 3163B ENG Referral To Support And Collections

Several key elements are essential for the DHS 3163B form:

  • Personal Information: This includes the recipient's name, address, and contact information.
  • Non-Custodial Parent Information: Details about the non-custodial parent, including their name and any known identifying information.
  • Signature: The recipient must sign the form to validate the information provided.

Eligibility Criteria for the DHS 3163B ENG Referral To Support And Collections

To be eligible to use the DHS 3163B form, individuals must be recipients of specific Minnesota assistance programs. This includes those enrolled in the Family Investment Program, Diversionary Work Program, Medical Assistance, or Child Care Assistance. Eligibility is typically determined based on income levels and family circumstances, ensuring that the form is used by those who genuinely require support in obtaining child support payments.

Obtaining the DHS 3163B ENG Referral To Support And Collections

The DHS 3163B form can be obtained through various channels. Recipients can access the form online through the Minnesota Department of Human Services website or request a physical copy from their local Child Support Agency. It is important to ensure that the most current version of the form is used to avoid any potential issues during the referral process.

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