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This version of the form is not currently in use and is provided for reference only. Download this version of
Form ADSA1B
for the current year.
Form ADSA1B Assistance Dog Special Allowance (Adsa) Application for Social Security Disability Insurance (Ssdi) Recipients - California
What Is Form ADSA1B?
This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form ADSA1B?
A: Form ADSA1B is the application for the Assistance DogSpecial Allowance (ADSA) program.
Q: Who is eligible to apply for Form ADSA1B?
A: Social Security Disability Insurance (SSDI) recipients in California can apply for Form ADSA1B.
Q: What is the Assistance Dog Special Allowance (ADSA) program?
A: The ADSA program provides a monthly allowance to help offset the expenses of an assistance dog for SSDI recipients.
Q: What are the requirements for applying for Form ADSA1B?
A: To apply for Form ADSA1B, you must be an SSDI recipient, have a disability that requires the use of an assistance dog, and meet the income and asset limits.
Q: What are the benefits of the ADSA program?
A: The ADSA program provides a monthly allowance of $50 to help cover the costs of food, grooming, and veterinary care for an assistance dog.
Q: Can I apply for Form ADSA1B if I receive Supplemental Security Income (SSI)?
A: No, the ADSA program is only available to SSDI recipients.
Q: Are there any fees associated with applying for Form ADSA1B?
A: No, there are no fees associated with applying for Form ADSA1B.
Form Details:
- Released on January 1, 2010;
- The latest edition provided by the California Department of Social Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form ADSA1B by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
Download Form ADSA1B Assistance Dog Special Allowance (Adsa) Application for Social Security Disability Insurance (Ssdi) Recipients - California
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