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the E-forms, you must have Acrobat Reader installed on your
computer. If you need it you can get it free. Click on the icon
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There
forms may take a while to view or download since they are graphic
intense. Please be patient.
This form lists the
documentation requirements that must be provided with an application
for services.
This
form must be completed for each program that you or any member of your
household are applying for. Staff are available to assist you
in completing the form. This form is also available in other
languages.
How
to Complete the TA/MA/MSP/FS/S/FC/CC Application
(Pub-1301)
This
form helps you to complete the "common application" form for assistance.
This is used to
help us know who you are, where you live, how long you have been
living there, and how we can help you.
What
You Should Know About Your Rights and Responsibilities (When
Applying For or Receiving Benefits)
Book
1 (LDSS4148A)
What
You Should Know About Social Services Programs
Book
2 (LDSS-4148B)
What
You Should Know If you have an Emergency
Book
3 (LDSS-4148C)
Additional
Yates County Forms needed to go with the common application for services:
Assessment
for Services Screening Tool (revised 5/03)
Domestic Violence
Screening Form (LDSS4583)
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