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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 DSS-EA-240D
for the current year.
Form DSS-EA-240D Application for Medical Assistance for Workers With Disabilities - South Dakota
What Is Form DSS-EA-240D?
This is a legal form that was released by the South Dakota Department of Social Services - a government authority operating within South Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DSS-EA-240D?
A: Form DSS-EA-240D is the Application for Medical Assistance for Workers With Disabilities in South Dakota.
Q: Who can apply for Medical Assistance for Workers With Disabilities?
A: South Dakota residents who are disabled and employed can apply for this program.
Q: What is the purpose of this application?
A: The purpose of this application is to apply for medical assistance benefits for workers with disabilities in South Dakota.
Q: Are there any eligibility requirements for this program?
A: Yes, applicants must meet certain income and disability requirements to be eligible for Medical Assistance for Workers With Disabilities.
Form Details:
- Released on January 1, 2017;
- The latest edition provided by the South Dakota 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 DSS-EA-240D by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.
Download Form DSS-EA-240D Application for Medical Assistance for Workers With Disabilities - South Dakota
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