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Todd County Health & Human Services 212 Second Avenue South Long Prairie MN 56347 (320)7324500 OR 18888384066 CSS/CHORE #20 (4/01) CHORE SERVICE PROGRAM APPLICATION FORM NAME: DATE: ADDRESS: CITY,
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How to fill out chore service program application

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Who needs chore service program application?

01
Elders or individuals with physical limitations who require assistance with daily household chores and errands
02
Families or individuals who are unable to manage household chores due to busy schedules or other responsibilities
03
Individuals recovering from surgery or illness who need temporary help with household tasks

How to fill out chore service program application:

01
Gather necessary information: Before starting the application, gather all the required information such as personal details, contact information, household size, and any specific needs or preferences related to chore services.
02
Research available programs: Conduct thorough research to find out about different chore service programs available in your area. Look for programs that align with your specific needs, preferences, and eligibility criteria. Consider factors such as cost, duration, and services offered.
03
Obtain the application form: Visit the official website or contact the relevant organization providing the chore service program to obtain the application form. Some programs may offer an online application option, while others may require a physical form.
04
Read the instructions carefully: Once you have the application form, take the time to read through the instructions provided. Ensure you understand all the requirements and any supporting documents that may be needed.
05
Complete personal information: Begin the application by filling out your personal information accurately. This typically includes your full name, address, phone number, and email address. Provide any additional details required, such as a social security number or proof of income, depending on the program's eligibility criteria.
06
Specify household details: Provide information about your household, including the number of individuals living with you and their ages. If applicable, mention any specific household needs or disabilities that require attention.
07
Describe chore needs: In this section, clearly outline the specific chores or tasks you require assistance with. This could include general housekeeping, laundry, grocery shopping, meal preparation, or other specific needs. Be as detailed as possible to ensure the program can assess your eligibility accurately.
08
Provide supporting documents: If the application requires any supporting documents, make sure to gather and attach them accordingly. These documents could include proof of income, medical certificates, or any other paperwork that supports your eligibility or specific needs.
09
Double-check and submit: Before submitting the application, review all the information provided to ensure accuracy and completeness. Double-check that all required fields are filled, and any supporting documents are attached. If applying online, click the submit button, and if applying by mail, ensure you have included all necessary documents and postage.
10
Follow up: After submitting the application, it's essential to follow up with the chore service program organization. They may require additional information or have specific procedures for reviewing applications. Stay proactive and reach out to inquire about the timeline or any further steps required to complete the application process.
By following these steps, individuals in need of chore service can accurately complete the application, increasing the chances of receiving the necessary assistance in managing their household tasks.
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The chore service program application is a form used to apply for a program that provides assistance with household chores for those who are unable to do them themselves.
Individuals who require assistance with household chores due to physical limitations or disabilities are required to file the chore service program application.
The chore service program application can be filled out online or in person by providing personal information, medical history, and details about the type of assistance needed.
The purpose of the chore service program application is to assess the individual's need for assistance with household chores and to determine eligibility for the program.
Information such as personal details, medical history, current living situation, and the type of assistance needed must be reported on the chore service program application.
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