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COLORADO DEPARTMENT OF HUMAN SERVICES CHILD CARE ASSISTANCE PROGRAM REDETERMINATION OF ELIGIBILITY FORM You received this form so the County Department of Social/Human Services can update your eligibility

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What is redetermination of eligibility form?

The redetermination of eligibility form is a form used to review and update a person's eligibility for benefits or services.

Who is required to file redetermination of eligibility form?

Individuals who are currently receiving benefits or services and need to confirm their continued eligibility are required to file the redetermination of eligibility form.

How to fill out redetermination of eligibility form?

To fill out the redetermination of eligibility form, individuals should provide accurate and up-to-date information about their current circumstances and any changes that may have occurred since their last eligibility determination.

What is the purpose of redetermination of eligibility form?

The purpose of the redetermination of eligibility form is to ensure that individuals receiving benefits or services still meet the eligibility requirements and to update their information as needed.

What information must be reported on redetermination of eligibility form?

The redetermination of eligibility form may require information such as income, household size, employment status, and any changes in circumstances that may affect eligibility.

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