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Commonwealth of Virginia Department of Social ServicesAGENCY USE ONLY:Locality/FIPS Case # Date Application Received Worker # COOLING ASSISTANCE APPLICATIONApplications accepted from June 15 through

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How to fill out localityfips case date application

01

To fill out the localityfips case date application, follow these steps:

02

Start by opening the application form.

03

Provide your personal information, including your full name, address, and contact details.

04

Enter the localityfips code for the specific location you are reporting a case date for.

05

Fill in the date of the case, including the day, month, and year.

06

If applicable, provide any additional details or comments regarding the case date.

07

Review all the information you have entered for accuracy.

08

Submit the application form either online or by mailing it to the designated address.

09

Wait for confirmation or further instructions from the relevant authorities.

Who needs localityfips case date application?

01

Anyone who needs to report a case date for a specific location utilizing localityfips code may need to fill out the localityfips case date application.

02

This can include individuals experiencing COVID-19 symptoms, healthcare professionals, researchers, and government agencies responsible for tracking and monitoring cases.

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