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FOR OFFICE USE ONLY: CUBA/SUTTER COUNTIES CENTRALIZED ELIGIBILITY LIST ELIGIBILITY QUESTIONNAIRE for SUBSIDIZED CHILD CARE SERVICES (800) 552-0400 https://cel.chs-ca.org Mail to: CHS 990 Namath Lane
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How to Fill Out Yuba-Sutter County's Centralized Eligibility:

01
Visit the Yuba-Sutter County's centralized eligibility website or office to obtain the necessary forms and instructions.
02
Carefully read through the instructions and requirements provided to ensure you gather all the required documents and information.
03
Start by providing your personal information, such as your full name, address, contact details, and Social Security number.
04
Fill out the sections regarding your household composition, including the names, ages, and relationships of everyone living with you.
05
Provide information about your income, including wages, self-employment earnings, government assistance, and any other sources of income.
06
Include details about your current living situation, such as whether you are renting, own a home, or receive housing assistance.
07
Fill in any information related to your health insurance, including Medicaid or private insurance coverage details.
08
If applicable, provide documentation of any disabilities or medical conditions that may affect your eligibility.
09
Review the completed application thoroughly, ensuring that all sections are filled out accurately and completely.
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Submit the application as directed, either online or by mail, and retain a copy of the application for your records.

Who Needs Yuba-Sutter County's Centralized Eligibility:

01
Individuals who are residents of Yuba-Sutter County and are seeking eligibility for various assistance programs provided by the county.
02
Low-income individuals and families who may need assistance with health insurance coverage, housing, food, or other essential services.
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Those who have experienced recent changes in their circumstances, such as loss of employment or housing, and require temporary assistance.
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YubaSutter County's Centralized Eligibility is a program that streamlines the application process for various assistance programs by allowing individuals to apply for multiple programs at the same time through a single application.
Individuals who meet the eligibility requirements for any of the assistance programs offered by YubaSutter County are required to file the Centralized Eligibility application.
To fill out YubaSutter County's Centralized Eligibility application, individuals can visit the county's official website or contact the county's social services department for assistance.
The purpose of YubaSutter County's Centralized Eligibility is to simplify the application process for assistance programs, reduce duplicate paperwork, and ensure that individuals receive the benefits they are eligible for in a timely manner.
On YubaSutter County's Centralized Eligibility application, individuals must report personal information, income, household size, and any other details required for the specific assistance programs they are applying for.
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