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LDSS3134 S (2/01) FORMULA RIO DE CONSENTIMIENTO DE ESTERILIZACINPATIENT BARCHART NO.RECIPIENT ID NO.HOSPITAL/CLINICNOTIFICACIN: SU DECISION, EN QUALIFIER MOMENT, DE NO SER STERILIZED(A) NO RESULT

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What is ldss-3134 s 201?

ldss-3134 s 201 is a form used by the Department of Social Services to report income and assets for eligibility determination of various social welfare programs.

Who is required to file ldss-3134 s 201?

Individuals applying for or receiving social welfare benefits are required to file ldss-3134 s 201.

How to fill out ldss-3134 s 201?

ldss-3134 s 201 can be filled out by providing accurate information about income, assets, and household members.

What is the purpose of ldss-3134 s 201?

The purpose of ldss-3134 s 201 is to verify eligibility for social welfare programs based on income and asset criteria.

What information must be reported on ldss-3134 s 201?

Information such as income sources, asset values, and household composition must be reported on ldss-3134 s 201.

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