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LESS (Rev 7/01) Attachment D / DiscontinueNOTICE OF INTENT TO DISCONTINUE CHILD CARE BENEFITS NOTICED ATE:NAME AND ADDRESS OF AGENCY/CENTER OR DISTRICT OFFICE CASE NUMBERING NUMBER CASE NAME (And
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LDSS rev 701 is a form used to report financial information for purposes such as determination of eligibility for assistance programs.
Individuals or families seeking assistance from social services programs may be required to file LDSS rev 701.
LDSS rev 701 can be filled out by providing accurate financial information as requested on the form.
The purpose of LDSS rev 701 is to assess the financial situation of an individual or family to determine eligibility for assistance programs.
Information such as income, expenses, assets, and other financial details must be reported on LDSS rev 701.
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