Program Participation Affirmation - Connecticut

Program Participation Affirmation - Connecticut

Program Participation Affirmation is a legal document that was released by the Connecticut Department of Housing - a government authority operating within Connecticut.

FAQ

Q: What is the Program Participation Affirmation?
A: The Program Participation Affirmation is a form required by Connecticut for certain assistance programs.

Q: Who needs to complete the Program Participation Affirmation?
A: Individuals applying for or receiving certain assistance programs in Connecticut need to complete the Program Participation Affirmation.

Q: What assistance programs require the Program Participation Affirmation?
A: Assistance programs such as Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), and Husky Health Program may require the Program Participation Affirmation.

Q: What information is included in the Program Participation Affirmation?
A: The Program Participation Affirmation includes information about the applicant's eligibility for assistance programs, consent to participate in related activities, and penalties for providing false information.

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Form Details:

  • Released on April 19, 2023;
  • The latest edition currently provided by the Connecticut Department of Housing;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Connecticut Department of Housing.

Download Program Participation Affirmation - Connecticut

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  • Program Participation Affirmation - Connecticut, Page 1
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