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SIGNATURE DOCUMENT FOR DEPARTMENT OF STATE HEALTH SERVICES CONTRACT NO. HHS000812700004 UNDER THECOVID19 GRANT PROGRAM I. Purpose DEPARTMENT OF STATE HEALTH SERVICES (SYSTEM AGENCY OR DSS), a pass-through
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01
Visit the official website of the covid-19 support services program.
02
Click on the application form link.
03
Fill out the required personal information such as name, address, contact details, and employment status.
04
Provide information about your health condition and how covid-19 has affected you.
05
Submit the completed application form and wait for further instructions from the program administration.

Who needs covid-19 support services program?

01
Individuals who have been diagnosed with covid-19 and are experiencing financial hardship due to loss of income.
02
Families who have lost a loved one to covid-19 and are struggling to cope with the emotional and financial impact.
03
Essential workers who have been directly affected by the pandemic and need support to continue their work safely.
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The covid-19 support services program provides assistance to individuals and organizations affected by the pandemic.
Individuals and organizations that have received covid-19 support services are required to file the program.
The covid-19 support services program can be filled out online through the designated portal or by mail using the provided forms.
The purpose of the covid-19 support services program is to ensure that those in need receive the necessary assistance during the pandemic.
The program requires detailed information on the type and amount of support received, as well as any relevant financial documentation.
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