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Get the free DSS-8616. Food and Nutrition Services Workfare Referral Form

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FOOD AND NUTRITION SERVICES WORKFARE REFERRAL FORM Date of DSS Action___Date sent to Workfare unit______ New Referral. Date received by Workfare unit______ 12 Month Renewal___ Information ChangeVOLUNTEER
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How to fill out dss-8616 food and nutrition

01
Start by writing your personal information on the top of the form including your name, address, and phone number.
02
Fill out the household information section by listing all members of your household and their income sources.
03
Provide details about your current monthly income and expenses in the financial information section.
04
Indicate any assistance you are currently receiving such as food stamps or Medicaid.
05
Sign and date the form before submitting it to the appropriate agency for processing.

Who needs dss-8616 food and nutrition?

01
Individuals who require assistance with obtaining food and nutrition resources.
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The DSS-8616 form is a document used to report food and nutrition information for individuals receiving assistance.
Individuals receiving assistance are required to file the DSS-8616 form.
To fill out the DSS-8616 form, individuals must provide accurate information about their food and nutrition situation.
The purpose of the DSS-8616 form is to ensure that individuals receiving assistance are meeting their food and nutrition needs.
Information such as income, household size, and food expenses must be reported on the DSS-8616 form.
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