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 Other 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 used for?
A: Form DSS-EA-240 is used to apply for Resource Assessment, Long-Term Care, or Other Related Medical Assistance in South Dakota.
Q: What information is required on Form DSS-EA-240?
A: Form DSS-EA-240 requires information regarding your personal details, income, assets, and medical needs.
Q: Is there a fee to submit Form DSS-EA-240?
A: No, there is no fee to submit Form DSS-EA-240.
Q: Can I apply for multiple types of assistance using Form DSS-EA-240?
A: Yes, you can apply for Resource Assessment, Long-Term Care, or Other Related Medical Assistance using Form DSS-EA-240.
Q: What should I do if I need help completing Form DSS-EA-240?
A: If you need assistance completing Form DSS-EA-240, you can contact the South Dakota Department of Social Services or visit a local Department of Social Services office for help.
Form Details:
- Released on December 1, 2022;
- 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 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.
Download Form DSS-EA-240 Application for Resource Assessment, Long-Term Care, or Other Related Medical Assistance - South Dakota
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
