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State of New Jersey DEPARTMENT OF HUMAN SERVICES DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES CHRIS CHRISTIE Governor P.O. Box 712 Trenton, NJ 086250712 JENNIFER VELEZ Commissioner KIM GUANO
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Regarding who needs the 15-01_ssi_ineligibles_cola_2015 - state of, this form is typically required by individuals who are applying for or receiving Supplemental Security Income (SSI) benefits from the government. It is specifically designed to collect information relevant to determine eligibility for SSI and any cost-of-living adjustments that may apply for the year 2015. Therefore, individuals who fall under this category and are applying for or receiving SSI benefits should use this form to provide the necessary information.
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This form is related to the Supplemental Security Income (SSI) program for ineligibles Cost-of-Living Adjustment (COLA) in the year 2015.
Individuals or entities responsible for reporting SSI ineligibles COLA data for the year 2015 are required to file this form.
The form should be filled out accurately with all the necessary information regarding SSI ineligibles COLA data for the specified year.
The purpose of this form is to report SSI ineligibles COLA information for the year 2015.
Information such as SSI ineligibles COLA data for the year 2015 must be reported on this form.
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