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Social security number and date of birth. Web apply for assistance before you get started, please read this information. Complete a paper application by downloading and printing from here. Web at a department of children and families customer service center.
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Income information such as job, child support or any other sources. Processing begins the daywe receiveyour signed application. Apply for assistance you may need the following information for all individuals for whom you are applying. Web access account to check the status of your application.
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Fill out this application if you want to apply for food or cash assistance, family related medical assistance, relative caregiver, optional state supplementation or medical assistance for age 65 or over, blind or disabled, medicaid waiver/home and community based services, hospice or nursing home care. Processing your application processing begins with the date we receive your signed application. We need at least your name, address, and a signature. If you need to complete a review and are not able to create or log into your account, you may choose apply for benefits.
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