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INSTRUCTIONS FOR THE 20182019 ADULT CARE COST REPORTS AND REVENUE REPORTING SYSTEM For Facilities Providing Services to Recipients of State/County Special Assistance for AdultsCAPACITY OF 6 LICENSED
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How to fill out of statecounty special assistance

01
Obtain the application form for out-of-state county special assistance from the Department of Social Services.
02
Fill out all the required personal information such as name, address, contact details.
03
Provide information about your current residence and the county you are applying for assistance in.
04
Enter details about your income, expenses, and any other financial assets.
05
Attach any supporting documents such as proof of income, residency, and expenses.
06
Review the completed application form to ensure all information is accurate and complete.
07
Submit the filled-out form along with the supporting documents to the Department of Social Services.
08
Wait for the department to review your application and provide assistance accordingly.
09
Follow up with the department if needed to check the status of your application.
10
Once approved, make sure to comply with any additional requirements or instructions provided by the department.

Who needs of statecounty special assistance?

01
Individuals who have moved from one county to another county in a different state and are in need of special assistance can apply for out-of-state county special assistance.
02
This assistance is typically available to individuals or families who are facing financial hardships and require government aid to meet their basic needs.
03
Eligibility criteria may vary, and it is advisable to contact the Department of Social Services or a local government agency for specific details.
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State/county special assistance is a program that provides financial aid to individuals in need who meet certain eligibility requirements.
Individuals who meet the eligibility requirements for state/county special assistance are required to file for it if they wish to receive financial aid.
To fill out state/county special assistance, individuals must complete the application form provided by the relevant state or county agency and submit any required documentation.
The purpose of state/county special assistance is to provide financial aid to individuals in need who meet certain eligibility requirements.
Individuals must report their income, assets, household size, and any other relevant information requested on the state/county special assistance application.
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