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(Rev.08/2020)Application Form for Integrated Support Service for Persons with Severe Physical Disabilities (Please put an in the appropriate box in accordance with the residential address of the applicant)

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How to fill out application form for integrated

01

Review the instructions on the application form to understand the required information.

02

Fill out personal details such as name, address, contact information, and date of birth.

03

Provide information related to the integrated program for which you are applying.

04

Double-check all information for accuracy and completeness before submitting the form.

Who needs application form for integrated?

01

Anyone who wishes to apply for the integrated program must fill out the application form.

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What is application form for integrated?

The application form for integrated is a document used to streamline the process of applying for multiple services or benefits at once.

Who is required to file application form for integrated?

Individuals who wish to apply for multiple services or benefits simultaneously are required to file the application form for integrated.

How to fill out application form for integrated?

To fill out the application form for integrated, individuals should carefully read and follow the instructions provided on the form, and provide all requested information accurately.

What is the purpose of application form for integrated?

The purpose of the application form for integrated is to simplify the application process for individuals by allowing them to apply for multiple services or benefits with a single form.

What information must be reported on application form for integrated?

The information reported on the application form for integrated may include personal details, contact information, income details, and specific details related to the services or benefits being applied for.

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