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WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES PAC ELIGIBILITY CALCULATIONS Method 1 Case Name: Case Number: 1. Determine the last month in which the client received SSI and was entitled to
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Form dfa-pac-1a income is a document used to report income to the Department of Financial Affairs.
Individuals or entities that have received income within the reporting period are required to file form dfa-pac-1a income.
Form dfa-pac-1a income should be filled out by providing accurate information about the income received during the specified time period.
The purpose of form dfa-pac-1a income is to provide a detailed record of income for tax or other financial reporting purposes.
Form dfa-pac-1a income must include information such as the source of income, amount received, and any applicable deductions or exemptions.
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