Required fields are marked with asterisks (*)

Update your information

If you are a client and have:

  • moved
  • changed your phone number
  • had a change in your employment
  • had a change in your household size, such as a new roommate or family member.

Use this form to let your Caseworker know that your information has been changed. They will contact you to follow-up on the information you provide.

This form CANNOT be used for income reporting or to provide verification documents.Those documents must still be provided on paper to your local Human Services office.

Select the items you wish to update