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Eligibility Determination Form Date of Eligibility Determination: Date of Birth: Age: Adjusted Age: Eligibility determination type (check one): Initial Annual Interim Eligibility Established by Records
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What is date of eligibility determination?
The date of eligibility determination is the date when a determination is made regarding an individual's eligibility for a particular program or benefit.
Who is required to file date of eligibility determination?
The individual or organization responsible for making the eligibility determination is required to file the date of eligibility determination.
How to fill out date of eligibility determination?
The date of eligibility determination should be filled out by providing the specific date when the eligibility determination was made.
What is the purpose of date of eligibility determination?
The purpose of the date of eligibility determination is to document when the determination was made and ensure compliance with program requirements.
What information must be reported on date of eligibility determination?
The information that must be reported on the date of eligibility determination includes the individual's name, date of determination, and eligibility status.
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