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Des Moines Valley Health and Human Services 407 5th Street Jackson, MN 56143 507847400011 Fourth Street Windom, MN 56101 5078311891Final Disposition / Funeral Payment Policy Effective 1/1/2018Purpose:
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The Combined Application Form Dakota is a document used to apply for various assistance programs in the state of North Dakota, such as Medicaid, SNAP, and other benefits.
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Individuals or families seeking financial assistance or benefits from state programs in North Dakota are required to file the Combined Application Form Dakota.
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To fill out the Combined Application Form Dakota, applicants must provide personal information, including household income, expenses, and details relevant to the specific assistance program they are applying for.
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The purpose of the Combined Application Form Dakota is to streamline the application process for multiple state assistance programs, making it easier for applicants to access necessary support.
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Applicants must report personal information, household size, income details, expenses, and any other relevant information that pertains to the assistance programs they wish to apply for.
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