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.
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.
Q: What is Form DSS-EA-240?
A: Form DSS-EA-240 is an application used in South Dakota to apply for Resource Assessment, Long-Term Care, or Other Related Medical Assistance.
Q: What can I apply for with Form DSS-EA-240?
A: You can apply for Resource Assessment, Long-Term Care, or Other Related Medical Assistance in South Dakota using Form DSS-EA-240.
Q: What information do I need to provide on Form DSS-EA-240?
A: You will need to provide personal information, income and asset details, and information about your medical needs on Form DSS-EA-240.
Q: How do I submit Form DSS-EA-240?
A: You can submit Form DSS-EA-240 by mailing it to the South Dakota Department of Social Services or by submitting it in person at their office.
Q: Is there a fee to submit Form DSS-EA-240?
A: No, there is no fee to submit Form DSS-EA-240.
Form Details:
Download a printable 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.