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Forms

The Hoge & Company Representative Payee Program provides forms and documentations for the services we provide to our customers.

Click to open these PDF documents or right click and
Save As to download these to your device.

  Client Agreement Form

Intake Form

Monthly Bills Worksheet Form

Voluntary Consent Form

Wages and Assets Form

If you need any of these forms sent by mail or fax please contact us and let us know.  We will be happy to provide them in any format needed.

 
 
Our Mission

To ensure that the communities we serve have competent and accurate representative payee services.
 
To provide personal and financial services to individuals who need assistance managing their own affairs to stay independent as possible.
 

 

Hoge & Company
P.O. Box 100
Ironton, MN 56455
Phone: 218-772-0289 Fax: 218-772-0290
Email: mnpayee@gmail.com
Hours: 7:30 a.m. - 4:00 p.m.