Form DSS-EA-265 Request for Long-Term Care or Home Community Based Services Waiver Assistance - South Dakota

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Form DSS-EA-265 Request for Long-Term Care or Home Community Based Services Waiver Assistance - South Dakota

What Is Form DSS-EA-265?

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-265?
A: Form DSS-EA-265 is a request for Long-Term Care or Home Community Based Services Waiver Assistance in South Dakota.

Q: What does this form cover?
A: This form covers requests for assistance with long-term care or home community based services waivers.

Q: Who can use this form?
A: Anyone in South Dakota who needs long-term care or home community based services waivers can use this form.

Q: Is this form for South Dakota residents only?
A: Yes, this form is specifically for residents of South Dakota.

Q: What is the purpose of this form?
A: The purpose of this form is to request long-term care or home community based services waivers in South Dakota.

Q: Is there a cost for using this form?
A: No, there is no cost associated with using this form.

Q: How long does it take to process this form?
A: The processing time for this form can vary. It is best to contact the South Dakota Department of Social Services for more information.

Q: Is there any additional documentation required with this form?
A: Yes, additional documentation may be required depending on the specific situation. It is recommended to review the instructions on the form or contact the South Dakota Department of Social Services for more information.

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Form Details:

  • Released on October 1, 2020;
  • The latest edition provided by the South Dakota Department of Social Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DSS-EA-265 by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.

Download Form DSS-EA-265 Request for Long-Term Care or Home Community Based Services Waiver Assistance - South Dakota

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