PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form DSS-EA-240
for the current year.
Form DSS-EA-240 Application for Resource Assessment, Long Term Care or Related Medical Assistance - South Dakota
What Is Form DSS-EA-240?
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-240?
A: Form DSS-EA-240 is an application for resource assessment and long term care or related medical assistance in South Dakota.
Q: What is the purpose of Form DSS-EA-240?
A: The purpose of Form DSS-EA-240 is to apply for resource assessment and long term care or related medical assistance in South Dakota.
Q: What does this form assess?
A: This form assesses your resources for determining eligibility for long term care or related medical assistance in South Dakota.
Q: Who can fill out this form?
A: This form can be filled out by individuals or their authorized representatives who are seeking long term care or related medical assistance in South Dakota.
Form Details:
- Released on September 1, 2020;
- 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-240 by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.
Download Form DSS-EA-240 Application for Resource Assessment, Long Term Care or Related Medical Assistance - South Dakota
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
