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Form ODM07004 Social Summary Report for Disability Determination - Ohio
What Is Form ODM07004?
This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is ODM07004?
A: ODM07004 is the Social Summary Report for Disability Determination in Ohio.
Q: What is the purpose of ODM07004?
A: The purpose of ODM07004 is to gather relevant social information for disability determination in Ohio.
Q: Who needs to complete ODM07004?
A: ODM07004 needs to be completed by individuals applying for disability benefits in Ohio.
Q: What information is included in ODM07004?
A: ODM07004 includes information about the applicant's background, education, work history, and daily living activities.
Form Details:
- Released on July 1, 2018;
- The latest edition provided by the Ohio Department of Medicaid;
- 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 ODM07004 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.
Download Form ODM07004 Social Summary Report for Disability Determination - Ohio
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