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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?
A: Form DSS-EA-240 is an application for resource assessment, long-term care, or other related medical assistance in South Dakota.
Q: What can I use Form DSS-EA-240 for?
A: You can use Form DSS-EA-240 to apply for resource assessment, long-term care, or other related medical assistance in South Dakota.
Q: What information do I need to provide on Form DSS-EA-240?
A: You will need to provide personal information, financial information, and information about your medical needs on Form DSS-EA-240.
Q: What is the purpose of Form DSS-EA-240?
A: The purpose of Form DSS-EA-240 is to help determine your eligibility for resource assessment, long-term care, or other related medical assistance in South Dakota.
Form Details:
- Released on March 1, 2023;
- 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
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