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DO NOT WRITE IN THE SHADED AREAS OF THIS RECERTIFICATION FORMLDSS3174 Statewide (Rev. 10/18) CENTER/ OFFICEINTERVIEW DATE UNIT WORKER ID CASE TYPECAST NUMBERDISTRICTCASE NAMECATEGORYLANGNUMBER REUSE

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How to fill out temporary assistance and supplemental

01

To fill out temporary assistance and supplemental, follow these steps: 1. Gather all necessary documents such as identification, proof of income, and proof of residence. 2. Visit the local office of the Department of Social Services or access their online application portal. 3. Complete the application form by providing accurate and detailed information. 4. Attach all required documents as requested. 5. Review the application for any errors or missing information. 6. Submit the application either in person or through the online portal.

02

Note: It is recommended to consult with a social worker or representative from the Department of Social Services for specific guidance on filling out the temporary assistance and supplemental application.

Who needs temporary assistance and supplemental?

01

Temporary assistance and supplemental is designed to support individuals and families who are experiencing financial hardship. The program aims to help those who are unemployed, pregnant, elderly, disabled, or have low income. It provides temporary financial aid, medical coverage, and assistance with basic needs to eligible individuals and families.

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What is temporary assistance and supplemental?

Temporary assistance and supplemental are government programs that provide financial aid to individuals and families in need.

Who is required to file temporary assistance and supplemental?

Individuals or families eligible for the programs are required to file for temporary assistance and supplemental.

How to fill out temporary assistance and supplemental?

To fill out temporary assistance and supplemental, individuals must provide information about their income, expenses, and household size.

What is the purpose of temporary assistance and supplemental?

The purpose of temporary assistance and supplemental is to provide financial support to those who are struggling to meet their basic needs.

What information must be reported on temporary assistance and supplemental?

Information such as income, expenses, and household size must be reported on temporary assistance and supplemental.

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