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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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How to fill out re-determination of eligibility form

01

Start by gathering all the necessary documents needed for the re-determination of eligibility form, such as identification proof, income statements, and any other relevant paperwork.

02

Carefully read through the form and follow the instructions provided.

03

Fill in all the required personal information accurately, including your name, address, contact details, and any other identifying information.

04

Provide all the necessary details regarding your current situation, including any changes in income, employment, or living arrangements.

05

Attach any requested documents as evidence to support your re-determination request.

06

Double-check all the information you have provided to ensure it is accurate and complete.

07

Sign and date the form where indicated.

08

Make a copy of the completed form for your records.

09

Submit the form according to the provided instructions, either by mailing it to the relevant department or submitting it online, if applicable.

10

Follow up with the appropriate agency to confirm receipt of the form and to inquire about the status of your re-determination request.

Who needs re-determination of eligibility form?

01

Anyone who has previously applied for eligibility for a specific program, such as government assistance or benefits, may need to complete a re-determination of eligibility form. This form is typically required to reassess an individual's eligibility for continued participation in the program based on any changes in their circumstances or income. It is important to check with the specific program or agency to confirm whether a re-determination of eligibility form is necessary.

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What is re-determination of eligibility form?

Re-determination of eligibility form is a document used to review and update a person's eligibility for a particular program or service.

Who is required to file re-determination of eligibility form?

Individuals who are currently benefitting from a program or service and need to confirm their continued eligibility are required to file a re-determination of eligibility form.

How to fill out re-determination of eligibility form?

To fill out a re-determination of eligibility form, individuals must provide current and accurate information about their financial situation, household composition, and any other relevant details requested on the form.

What is the purpose of re-determination of eligibility form?

The purpose of re-determination of eligibility form is to ensure that individuals receiving benefits are still eligible based on their current circumstances.

What information must be reported on re-determination of eligibility form?

Information such as income, family size, expenses, and any changes in circumstances that may affect eligibility must be reported on a re-determination of eligibility form.

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