
Get the free Self-Declaration of Need/Proxy Form
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Office of Community Services (OCS)
Department of Labor and Industrial Relations
State of Hawaii Emergency Food Assistance Program (TEF AP)
SelfDeclaration of Need/Proxy Form
Name:Number in Household:Address:Phone
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What is self-declaration of needproxy form?
Self-declaration of needproxy form is a document where an individual declares their need for proxy assistance for specific tasks.
Who is required to file self-declaration of needproxy form?
Individuals who need proxy assistance for specific tasks are required to file the self-declaration of needproxy form.
How to fill out self-declaration of needproxy form?
To fill out the self-declaration of needproxy form, individuals need to provide their personal information, details of tasks needing proxy assistance, and sign the form.
What is the purpose of self-declaration of needproxy form?
The purpose of the self-declaration of needproxy form is to officially document an individual's need for proxy assistance.
What information must be reported on self-declaration of needproxy form?
The self-declaration of needproxy form must include personal information, details of tasks needing proxy assistance, and the signature of the individual.
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