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Appendix 6 Senior Companion and Eligibility Form Name (Typed or Printed) Signature Date Years of School Completed Previous Occupations Physical Condition: ExcellentGoodFairPoorPlease Explain: Contact
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Senior companion is a program that provides assistance to elderly individuals who need help with daily tasks. Eligibility varies depending on income and age requirements.
Those interested in becoming a senior companion are required to file eligibility forms to determine if they meet the program's requirements.
To fill out senior companion and eligibility forms, individuals must provide information about their income, age, and any relevant medical conditions.
The purpose of senior companion and eligibility is to ensure that qualified individuals receive the assistance they need to live independently and comfortably in their own homes.
Information such as income, age, medical conditions, and the level of assistance needed must be reported on senior companion and eligibility forms.
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