A Household Report Form (DHS-2120) (PDF) or a Combined Six-Month Report (CSR) (DHS-5576) (PDF) is provided to program participants subject to monthly or Six-Month reporting.

Require only 1 report form from program participants who report for more than 1 program when all required signatures are on the form. See 0005.12.06 (Who Must Sign Applications).

Assist people who need help to complete a report form.

Give the following to all program participants subject to scheduled reporting at intake, recertification, or when they must begin scheduled reporting:

●	An explanation of the purpose of scheduled reporting and prospective or retrospective budgeting.
●	An explanation of how to complete and return the HRF/CSR.
●	An explanation of the verifications they must submit with the report form and how to get those verifications.
●	A toll-free telephone number to ask questions and get help to complete the report form. The county must accept collect calls if the county does not have a toll free phone number.

MFIP:
Give all units subject to scheduled reporting the Reporting Responsibilities for MFIP Households (DHS-2647) (PDF).

Counties and Tribal Nations may give the Change Report Form (DHS-2402) (PDF) to units. See 0007.15 (Unscheduled Reporting of Changes - Cash).


MSA, GA, HSP:
Counties and Tribal Nations may give the Change Report Form (DHS-2402) (PDF) to units. See 0007.15 (Unscheduled Reporting of Changes - Cash).


SNAP:
It is required to give and review with clients the Supplemental Nutrition Assistance Program Reporting Responsibilities (DHS-2625) (PDF) at application and recertification. You must tell the client what reporting type the unit will be and the reporting responsibilities for that type. See 0005.12.12.01 (Forms/Handouts for Applicants), 0007.03.02 (Six-Month Reporting), 0007.03.05 (Change Reporting), 0009.06 (Recertification Process).

See 0008.06.01 (Implementing Changes - Program Provisions) for information on how to act on a change during the certification period.