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Wednesday, September 2, 2015
Social Service: Forms

 How do you apply?  

Your first visit to one of our offices will be to receive an application and a return date to be interviewed.  We are unable to determine eligibility or provide a return date over the phone.  The best suggested time to come in for your initial visit to pick-up your application and be provided a return date is after 11:00 a.m. and before 4:45 p.m., your eligibility will be determined by a worker after your interview.

Notice of Privacy Practices

CCSS Application English.pdf          

CCSS Application Spanish.pdf
                     
Long Term Care application

HHHA Referral

W9 to be filled out by Property Owner Please click here