Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Monroe County Department of Human Services (MCDHS) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Monroe County Department of Human Services (MCDHS) fax number
(585) 753-5315
Intake Unit
Used for: Temporary Assistance (TA)/Emergency Assistance/Temporary Housing Assistance applications and Daycare/child care program processes; intake and documentation handling.
Fax destination details
- Department
- Intake Unit
- Purpose
- Temporary Assistance (TA)/Emergency Assistance/Temporary Housing Assistance applications and Daycare/child care program processes; intake and documentation handling.
- Form
- Temporary Assistance application — TA 2921 (Temporary Assistance application)
- Address
- 111 Westfall Road, Rochester, NY 14620
- Voice phone
- +1 (585) 753-2780
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fill out the TA/2921 application; submit by fax or mail to MCDHS. After intake, you may be contacted for an interview; additional documentation requests may follow.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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