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INTERDEPARTMENTAL AGREEMENT between BEHAVIORAL HEALTH AND RECOVERY SERVICES and HUMAN SERVICES AGENCYAREA AGENCY ON AGING CONTRACT NO. 2011177 THIS AGREEMENT, is made and entered into by and between
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To fill out DHS Division of Aging Adult:
02
Obtain the DHS Division of Aging Adult form from the official website or local DHS office.
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Read the instructions thoroughly before starting to fill out the form.
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Provide accurate personal information such as name, address, contact details, and date of birth.
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Fill in the required information regarding your current situation, social security number, income, assets, and expenses.
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If applicable, provide information about your spouse or dependent.
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Answer any additional questions or sections as per the instructions.
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Sign and date the form.
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Submit the completed form either online, by mail, or in person to the designated DHS office.
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Who needs dhsdivision of aging adult?

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DHS Division of Aging Adult may be needed by individuals who:
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- Are senior citizens or adults with disabilities
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- Require assistance or support services for aging or disability-related needs
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- Seek eligibility for various programs and benefits offered by the Division of Aging Adult
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Dhsdivision of aging adult is a division within the Department of Human Services that focuses on services and support for the aging population.
Individuals who are elderly or caregivers of elderly individuals may be required to file dhsdivision of aging adult forms depending on the specific program or service being utilized.
To fill out dhsdivision of aging adult forms, individuals may need to provide personal information, medical history, financial details, and any other relevant information related to aging and health needs.
The purpose of dhsdivision of aging adult is to ensure that older adults have access to necessary services, resources, and support to maintain their health, well-being, and independence.
Information such as medical history, financial situation, living arrangements, support network, and any other relevant data related to the aging individual may need to be reported on dhsdivision of aging adult forms.
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