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DHS-5223-ENG 11-11 Combined Application Form For Food Support, Cash Assistance and Health Care Programs Note for Health Care only applicants. Do not use this application if you are: Applying for health

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What is dhs-5223-eng 11-11 combined application?

The dhs-5223-eng 11-11 combined application is a form used for reporting and requesting assistance in multiple areas such as food, cash, medical, and childcare benefits.

Who is required to file dhs-5223-eng 11-11 combined application?

Individuals and families who meet certain eligibility criteria and require assistance in areas such as food, cash, medical, and childcare benefits are required to file the dhs-5223-eng 11-11 combined application.

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To fill out the dhs-5223-eng 11-11 combined application, you need to provide accurate and complete information about your household, income, expenses, and other relevant details. This can be done by following the instructions provided in the application form.

What is the purpose of dhs-5223-eng 11-11 combined application?

The purpose of the dhs-5223-eng 11-11 combined application is to determine eligibility for and request assistance in multiple areas such as food, cash, medical, and childcare benefits.

What information must be reported on dhs-5223-eng 11-11 combined application?

The dhs-5223-eng 11-11 combined application requires you to report information such as household composition, income, expenses, assets, and other relevant details to determine eligibility for and request assistance in areas such as food, cash, medical, and childcare benefits.

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