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ACKNOWLEDGMENT OF RECEIPT OF HYSTERECTOMY INFORMATION Michigan Department of Community Health RECIPIENT STATEMENT: I, was told before the (Print or Type Recipient Name) hysterectomy was done that
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DSS 2218 is a form used to report information about income and assets for means-tested government programs.
Individuals who are applying for or receiving means-tested government programs may be required to file DSS 2218.
DSS 2218 can be filled out either online or on paper, providing information about income, assets, and household members.
The purpose of DSS 2218 is to assess eligibility for means-tested government programs based on income and assets.
Information such as income, assets, and household composition must be reported on DSS 2218.
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