SER Verification Notice Summary
Resume:
VAN BUREN COUNTY DHS
HARTFORD MI **057
Case Name:
Case Number:
Date:
MDHHS Office:
Specialist:
Phone:
Fax:
Specialist ID:
Melissa Yesberger
112578626
VAN BUREN COUNTY DHS
M. Connection
MDHHS-VanBuren
MELISSA DIANE YESBERGER
63381 41ST ST
LOT 35
PAW PAW MI 49079
VAN BUREN COUNTY DHS
PO BOX 8123
ROYAL OAK MI 48068-9985
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Please read each page of this notice carefully.
Proofs due by - 01/23/2026 .
We need your help to determine your eligibility for State Emergency Relief (SER). Important Information
You must get the proofs to me or call me by the due date above. If you do not, your benefits may be denied, decreased or cancelled. Call me right away if you have questions or problems getting the proofs. We may be able to help you get the proofs if you ask for help. If the information must be provided on a Department of Human Services form, the form is enclosed.
If you have questions regarding this notice, please contact your specialist M. Connection, at 844-***-****. Please return at least one of the requested proofs for each verification and person listed below. Name Verification Requested Proof (Return one of the following:) Melissa D Yesberger Home Rent - SER Rent receipt showing amount, address, landlord, renter Landlord statement
Current lease
DHS-3688, Shelter Verification Form
Name Verification Requested Proof (Return one of the following:) Melissa D Yesberger Required Payments for ShelterReceipt showing date, amount and service paid Written statement from provider
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1125786261000000
DHS-3503-SER (Rev. 01-09) Bridges Page 2 of 2
The Michigan Department of Health and Human Services (MDHHS) will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, height, weight, marital status, sexual orientation, 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 MDHHS office in your area.
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