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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES ASSISTANCE DOG SPECIAL ALLOWANCE ADSA APPLICATION FOR SOCIAL SECURITY DISABILITY INSURANCE SSDI RECIPIENTS Department of Social Services - Office of Services to the Blind 744 P Street MS 8-16-94 Sacramento CA 95814 Phone 916 657-2628 / TTY 916 651-6248 PERSONAL INFORMATION Birthdate Name First Middle Last Zip code City Home address Home phone Are you M...
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What is adsa 1b form?
ADSA 1B form is a document used for reporting certain information to the relevant authority.
Who is required to file adsa 1b form?
The individuals or entities specified by the authority are required to file the ADSA 1B form.
How to fill out adsa 1b form?
To fill out the ADSA 1B form, you need to provide the requested information in the designated sections as outlined in the form's instructions.
What is the purpose of adsa 1b form?
The purpose of the ADSA 1B form is to collect and report specific information to the relevant authority for regulatory or administrative purposes.
What information must be reported on adsa 1b form?
The ADSA 1B form requires the reporting of certain specified information, which may vary depending on the applicable regulations or requirements. It is important to review the form's instructions for the specific information that needs to be provided.
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