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DSS486T(Rev. 9/91)MEDICAL REPORT FOR DETERMINATION OF DISABILITY Pages 1 and 2 MUST be completed in their entirety by ALL providers. Subsequent pages must be completed only on the basis of impairment. DEPARTMENT

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Organizations or social service agencies that are applying for funding or resources on behalf of their clients.

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What is dss 486t formfill out?

DSS 486T form is a document used by the Department of Social Services to report income and expenses for the purpose of determining eligibility for assistance programs.

Who is required to file dss 486t formfill out?

Individuals or families applying for or receiving assistance from the Department of Social Services are required to file DSS 486T form.

How to fill out dss 486t formfill out?

DSS 486T form can be filled out by providing accurate information about income, expenses, assets, and any other information requested by the Department of Social Services.

What is the purpose of dss 486t formfill out?

The purpose of DSS 486T form is to determine eligibility for assistance programs based on the reported income and expenses.

What information must be reported on dss 486t formfill out?

Information such as income, expenses, assets, household size, and any other relevant information must be reported on DSS 486T form.

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