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INSTRUCTIONS FOR DSS FORM 1247A Purpose DSS Form 1247A is used to verify when an FI recipient is needed in the home to provide care for a disabled family member living in the home. O. Box City State Zip DSS Form 1247A DEC 08 Edition of AUG 07 is obsolete. Date Telephone No. Include Area Code Patient s Name The applicant/caregiver is requesting an exemption from participating in the Family Independence FI work program because he/she is needed in the home due to your disabling illness or...
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Dss form 1247a is a document used for reporting specific information to the Department of Social Services.
Individuals or entities designated by the Department of Social Services are required to file dss form 1247a.
Dss form 1247a can be filled out by providing the requested information accurately and submitting it to the Department of Social Services.
The purpose of dss form 1247a is to collect important data for social service programs and activities.
Information such as income, household composition, and other relevant details must be reported on dss form 1247a.
The deadline to file dss form 1247a in 2023 is typically specified by the Department of Social Services.
The penalty for late filing of dss form 1247a may include fines or other consequences determined by the Department of Social Services.
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