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Chautauqua County Employment Assessment Client Name: Case Number: Attachment D Date: Name: Date of Birth: For Office Use Only: Social Security Number: Marital Status: U.S. Citizen? Yes No If NO, do
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Chautauqua County welfare to-work is a program designed to help individuals on welfare find and maintain employment.
Individuals receiving welfare benefits in Chautauqua County are required to file for welfare to-work.
The welfare to-work form can be filled out online or in person at the Chautauqua County Department of Social Services.
The purpose of the program is to help individuals on welfare become self-sufficient through employment.
The form may require information such as employment history, skills, and availability for work.
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