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Proof MUST match amount First Middle Last of TOTAL INCOME line. CalWORKS SSI/SSP SSA Pensions GA/GR Wages Interest Income Other Income Mailing Address Number and Street Apartment Number City State Zip Code Daytime Telephone Number INCLUDING YOURSELF total number of people living in your home. 8800-0000-02-23 LIBERTY UTILITIES CALPECO ELECTRIC LLC LIBERTY CALIFORNIA ALTERNATIVE RATES FOR ENERGY CARE CARE provides a monthly discount on your Liberty electric service. APPLICANT S AGE GROUP...
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The application is meant for those seeking financial assistance or access to various care programs provided by the respective agency or organization.
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98-2100 care application is a form used to apply for long-term care services and supports.
Individuals who are in need of long-term care services and supports are required to file a 98-2100 care application.
To fill out a 98-2100 care application, you must provide information about your health, financial situation, and care needs.
The purpose of a 98-2100 care application is to determine eligibility for long-term care services and supports.
Information about your health, financial situation, and care needs must be reported on a 98-2100 care application.
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