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The Michigan Verification Student form plays a crucial role in ensuring that students receiving public assistance are actively engaged in their education. This form is essential for verifying a student's enrollment, attendance, and academic progress, particularly for those involved in the Family Independence Program. Children aged 6 to 18 must attend school full-time to maintain their benefits. The Department of Human Services (DHS) relies on this form to collect necessary information from schools, which includes details about the student's enrollment status, attendance patterns, and the type of educational program they are pursuing. While the school administration's cooperation is requested, it is important to note that there are no penalties for refusing to fill out the form. However, failure to provide the requested information could lead to a denial or reduction of benefits for the student. The form also emphasizes the rights of individuals under the Americans with Disabilities Act, inviting those who may need assistance to communicate their needs. By completing this form, school officials help ensure that students receive the support they need to succeed academically and maintain their eligibility for public assistance.

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ENTER ADDRESSEE NAME ENTER ADDRESSEE CARE OF

ENTER ADDRESSEE PO BOX OR STREET ENTER ADDRESSEE CITY/STATE/ZIP

Case Name:

 

Case Number:

 

Date:

 

DHS Office:

 

Specialist / ID:

/

Phone:

 

Fax:

 

Individual ID:

 

Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area. AUTHORITY: Act 280 of 1939, as amended, and Title IV and XIX of the Social Security Act.

COMPLETION: The school administration's voluntary cooperation is requested.

PENALTY: None for the school administration’s refusal to fill out form. However, failure of school to provide information may result in denial, reduction, or loss of assistance for client.

VERIFICATION OF STUDENT INFORMATION

Student Name

Student’s Birthdate

Date Completed

CLIENT INSTRUCTIONS & RELEASE OF INFORMATION:

It is necessary to verify school enrollment, attendance and progress for students who are receiving or applying for public assistance. For the Family Independence Program, all children between the ages of 6-18 are expected to be attending school full-time or benefits may be denied, reduced, or terminated.

This form must be completed by the school. Sign below, then take or mail the form and the return envelope to the school.

It is your responsibility to have the form completed and returned to your worker by

or your

benefits may be denied, reduced, or terminated.

 

To school official: You are authorized to release the information requested below to the Department of Human Services.

Client Signature

Date

INSTRUCTIONS FOR SCHOOL OFFICIAL:

We are requesting your help in verifying enrollment, attendance and progress of the above-referenced student. Please complete the information on the back of this form and return it to our office. A stamped self-addressed envelope has been enclosed for that purpose.

TO BE COMPLETED BY SCHOOL OFFICIAL:

 

1.

Name of School

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address of School

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

2.

Name of Responsible Person With Whom the Student is Residing

 

 

3. Relationship to Student

 

 

 

 

 

 

 

 

 

 

4.

Address of Student's Home

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

5.

Enrollment Status:

 

 

 

 

 

 

 

 

FULL TIME STUDENT

 

HALF TIME STUDENT

LESS THAN HALF TIME

NOT CURRENTLY ENROLLED

 

6.

Attendance:

 

 

 

 

 

Since (Give Date)

 

 

REGULARLY ATTENDING

 

ATTENDING SOMETIMES

NOT ATTENDING

 

 

 

If not regularly attending, is absence due to disability or periods of extended illness?

Yes

No

 

DHS-3380 (Rev. 10-12) Previous edition obsolete. MS Word

1

 

 

 

Case Name

Case Number

Specialist

7. Type of Program

K-12

8.Curriculum or Major

9.Degree Being Pursued:

HIGH SCHOOL DIPLOMA

 

 

 

 

 

 

VOCATIONAL TRADE OR TECHNICAL TRAINING

 

 

COLLEGE OR UNIVERSITY

 

YES

NO

Is a High School diploma/GED Required for this program

 

Participating in Work Study

 

School Year/Term/Semester Begin Date

End Date

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ASSOCIATE OF ARTS DEGREE

NOT APPLICABLE

 

Expected Date of Completion/Graduation

 

 

B.A./B.S

 

OTHER (Specify)

 

 

21 Day Compliance Test

Complete if box is checked

10. Has the child regularly attended all school days for the past 21 calendar days?

Yes

No

11. Comments

12. Signature of School Official

Title

Phone Number

Date

DHS-3380 (Rev. 10-12) Previous edition obsolete. MS Word

2

Form Specifications

Fact Name Details
Purpose of the Form The Michigan Verification Student form is used to verify school enrollment, attendance, and progress for students applying for or receiving public assistance.
Governing Laws This form is governed by Act 280 of 1939, as amended, and Title IV and XIX of the Social Security Act.
Client Instructions Clients must ensure the form is completed by the school and returned to their worker to avoid denial, reduction, or termination of benefits.
School's Role School administration is requested to voluntarily complete the form. However, there is no penalty for refusal.
Age Requirement Children between the ages of 6-18 must be attending school full-time to qualify for the Family Independence Program.
Verification Timeline The form includes a 21-day compliance test to confirm regular attendance over the past three weeks.
Disability Accommodations The Department of Human Services will accommodate individuals with disabilities under the Americans with Disabilities Act.

Michigan Verification Student: Usage Guidelines

Filling out the Michigan Verification Student form is an important step in ensuring that your information is properly verified. This process helps in confirming school enrollment, attendance, and progress for students receiving public assistance. Follow these steps carefully to complete the form accurately.

  1. Enter the addressee's name.
  2. Fill in the addressee's care of information, if applicable.
  3. Provide the addressee's PO Box or street address.
  4. Complete the addressee's city, state, and ZIP code.
  5. Write the case name.
  6. Input the case number.
  7. Fill in the date.
  8. Specify the DHS office.
  9. Enter the specialist's name and ID, along with their phone number and fax number.
  10. Provide the individual ID.
  11. Enter the student’s name.
  12. Fill in the student’s birthdate.
  13. Complete the date the form is being filled out.
  14. Sign the form to authorize the release of information to the Department of Human Services.
  15. Take or mail the form to the school for completion.

After submitting the form to the school, a school official will fill out the remaining sections regarding the student’s enrollment and attendance. Ensure that the completed form is returned to your worker to avoid any issues with your benefits.

Your Questions, Answered

What is the Michigan Verification Student form?

The Michigan Verification Student form is a document used to verify a student's enrollment, attendance, and academic progress. It is primarily used by the Department of Human Services (DHS) for individuals receiving or applying for public assistance. This form ensures that students meet the necessary educational requirements to maintain their benefits.

Who needs to complete this form?

This form must be completed by the school administration for students who are applying for or receiving public assistance. It is particularly important for children aged 6 to 18, as they are expected to attend school full-time to qualify for certain benefits.

What happens if the school does not complete the form?

If the school fails to provide the necessary information on this form, the client's benefits may be denied, reduced, or terminated. While there is no penalty for the school’s refusal to fill out the form, the consequences for the client can be significant.

How should the form be submitted?

The completed form should be returned to the client, who will then submit it to their DHS worker. It can be mailed or delivered in person. A stamped self-addressed envelope is typically provided to facilitate this process.

What information does the school need to provide?

The school must provide details such as the student's enrollment status, attendance record, type of program, and any relevant comments regarding the student's academic progress. This information helps DHS determine the student's eligibility for assistance.

Is there a deadline for submitting the form?

Yes, it is crucial for the client to ensure that the form is completed and returned to their DHS worker by a specified date. Failure to do so may result in a denial or reduction of benefits.

What if a student is not regularly attending school?

If a student is not regularly attending school, the school official must indicate this on the form. They should also specify if the absence is due to a disability or extended illness, as this information can impact the student’s eligibility for benefits.

What are the legal protections regarding this form?

The DHS will not discriminate against any individual based on race, religion, age, or other factors. Additionally, if assistance is needed due to a disability, individuals are encouraged to communicate their needs to the DHS office. This ensures that everyone has equal access to services.

Common mistakes

  1. Missing Addressee Information: One common mistake is failing to fill in the addressee's name, care of address, or PO Box/street address. This information is crucial for proper processing.

  2. Incorrect Student Information: Ensure that the student’s name and birthdate are entered accurately. Any discrepancies can lead to delays or issues with verification.

  3. Incomplete Case Details: Forgetting to include the case name, case number, or DHS office information can hinder the form's processing. All relevant case details must be provided.

  4. Neglecting to Sign: Both the client and the school official must sign the form. An unsigned form will not be accepted, which can result in loss of benefits.

  5. Improper Completion of Enrollment Status: Selecting the wrong enrollment status (full-time, half-time, etc.) can affect the outcome of the assistance application. Be sure to choose the correct status.

  6. Failure to Provide Attendance Dates: Not specifying the date since when the student has been attending can lead to complications. Always include this date for clarity.

  7. Ignoring Comments Section: Leaving the comments section blank may overlook important information that could help in the verification process. Use this space to clarify any unique circumstances.

  8. Omitting Program Type: Not indicating the type of program the student is enrolled in (vocational, K-12, etc.) is a frequent oversight. This information is essential for accurate processing.

  9. Incorrect Degree Information: If the student is pursuing a degree, ensure that the correct degree type is marked. Incorrect information can lead to delays in assistance.

  10. Not Meeting Submission Deadlines: Failing to return the completed form by the specified deadline can result in denial or reduction of benefits. Timeliness is key.

Documents used along the form

The Michigan Verification Student form is a critical document for students receiving public assistance. However, it often accompanies several other forms and documents that help streamline the verification process. Below are some of the key documents commonly used in conjunction with this form.

  • School Enrollment Verification Form: This document confirms a student's enrollment status and provides details about the school they attend. It is essential for verifying that students are actively participating in their education.
  • Attendance Records: Schools typically maintain attendance records that track a student’s daily presence. These records are crucial for demonstrating compliance with attendance requirements for public assistance programs.
  • Progress Reports: These reports offer insights into a student's academic performance and progress. They can be used to show that a student is meeting educational benchmarks necessary for continued assistance.
  • Client Release of Information Form: This form authorizes the school to release a student's information to the Department of Human Services. It ensures that the school can legally share necessary data regarding the student’s enrollment and attendance.
  • Financial Aid Verification Form: For students attending college or vocational programs, this form verifies their eligibility for financial aid. It may be required to assess the overall financial situation of the student and their family.

Understanding these accompanying documents is essential for both students and schools to ensure compliance with public assistance requirements. Timely submission of these forms can significantly impact the eligibility for benefits, making it imperative to handle them with care.

Similar forms

The Michigan Verification Student form serves a specific purpose in verifying student information for public assistance programs. Several other documents share similar functions, focusing on the verification of educational status, attendance, and progress. Below is a list of documents that are comparable to the Michigan Verification Student form, along with explanations of their similarities.

  • Free Application for Federal Student Aid (FAFSA): Like the Michigan form, FAFSA requires information about a student's enrollment status and academic progress to determine eligibility for federal financial aid.
  • Verification Worksheet: This document is used by colleges to verify the accuracy of information provided on financial aid applications, similar to how the Michigan form verifies student information for public assistance.
  • School Enrollment Verification Letter: Schools often provide this letter to confirm a student's enrollment status. It serves the same purpose as the Michigan form in verifying attendance and enrollment for assistance programs.
  • Student Status Verification Form: This form is commonly used in various educational institutions to confirm a student’s current status, paralleling the verification process outlined in the Michigan form.
  • Attendance Verification Form: This document is specifically focused on confirming a student’s attendance record, similar to the attendance section of the Michigan Verification Student form.
  • Certification of Enrollment: This certification is provided by educational institutions to verify a student's enrollment, akin to the Michigan form's request for enrollment verification from schools.
  • Proof of Enrollment for Health Insurance: Some health insurance providers require proof of a student's enrollment in school, which is similar to the verification process used by the Michigan form for public assistance.
  • State Aid Application: This application often requires verification of a student's enrollment and academic progress, mirroring the requirements of the Michigan Verification Student form.
  • College Transcript Request Form: This form may be used to obtain a transcript that verifies a student's academic progress, which aligns with the verification goals of the Michigan form.

Dos and Don'ts

When filling out the Michigan Verification Student form, it is important to follow specific guidelines to ensure accuracy and compliance. Below is a list of recommended actions and pitfalls to avoid.

  • Do enter the complete and accurate name of the student as it appears on official documents.
  • Do ensure that all required fields, such as address and enrollment status, are filled out completely.
  • Do provide the correct contact information for the school official completing the form.
  • Do return the completed form by the specified deadline to avoid delays in benefits.
  • Do keep a copy of the completed form for your records.
  • Don't leave any sections blank; incomplete information may lead to processing delays.
  • Don't provide false or misleading information, as this can result in penalties or loss of assistance.
  • Don't forget to sign and date the form before submission.
  • Don't submit the form without verifying that all information is accurate and up-to-date.
  • Don't ignore the instructions provided for school officials; they are crucial for proper completion.

Misconceptions

Misconceptions about the Michigan Verification Student form can lead to confusion for students, parents, and school officials. Understanding these misconceptions is crucial for ensuring compliance and maintaining public assistance benefits. Below are five common misconceptions:

  • Only full-time students need to complete the form. Many believe that only full-time students are required to submit this form. In reality, the form must be completed for all students receiving or applying for public assistance, regardless of their enrollment status.
  • Schools face penalties for not completing the form. There is a common belief that schools will be penalized if they refuse to fill out the form. However, the form explicitly states that there are no penalties for the school administration’s refusal. The consequences primarily affect the student’s benefits.
  • The form is only for K-12 students. Some people assume that this form is only applicable to K-12 students. In truth, it applies to students in various educational settings, including vocational programs and colleges, as long as they are receiving public assistance.
  • Completion of the form guarantees benefits. Many individuals think that simply completing the form guarantees continued benefits. This is not accurate; benefits may still be denied, reduced, or terminated if the information provided does not meet the necessary criteria for public assistance.
  • The form must be submitted in person. There is a misconception that the form must be physically submitted to the Department of Human Services (DHS). In fact, the form can be mailed, and a stamped self-addressed envelope is provided for convenience.

Clarifying these misconceptions can help ensure that all parties involved understand their responsibilities and the implications of the Michigan Verification Student form.

Key takeaways

When filling out and using the Michigan Verification Student form, consider the following key takeaways:

  • Accurate Information is Crucial: Ensure that all details provided, such as the student's name, birthdate, and school information, are accurate to avoid any delays in processing.
  • Timely Submission: The completed form must be returned to the designated worker by the specified deadline to prevent potential denial or reduction of benefits.
  • School's Role: The school administration's cooperation is essential. While there is no penalty for refusal, lack of information may negatively impact the student's assistance.
  • Verification of Attendance: The form is used to confirm the student's enrollment and attendance status, which is critical for those receiving public assistance.
  • Disability Considerations: If a student is not regularly attending due to a disability or illness, it is important to indicate this on the form.
  • Use of Self-Addressed Envelope: A stamped self-addressed envelope is provided to facilitate the return of the completed form to the DHS office.
  • Understanding Program Requirements: The form also inquires about the type of program the student is enrolled in, including whether a high school diploma or GED is required.