Homeless Verification Form template
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This form is used to verify homeless status for waiving fees of Utah birth certificates or identification cards. Representatives of Department of Workforce Services, homeless shelters, or housing facilities fill out the form along with a completed application. The applicant's name, date of birth, type of housing, and facility information are required. The representative certifies the applicant's homeless status based on Utah codes. The verification is valid for 60 days from the date it is verified.
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