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Eligibility Management (Income Maintenance)
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Caretaker Supplement (CTS) Forms
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Forms for more information on using PDF files.. If this list
includes Microsoft Word or Excel forms, they can be filled in, saved,
and transmitted electronically. You must have access to Microsoft
Office 97, or a more recent version, to use these forms.
| DDE
2571A (PDF, 25KB) |
Caretaker Supplement Instructions |
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DDE 2571 (PDF, 19KB) |
Caretaker Supplement Application |
| DDE
2564 (PDF, 23KB) |
Retroactive Caretaker Supplement Authorization |
| DDE
2565 (PDF, 19KB) |
Recoupment Caretaker Supplement Authorization |
Last Revised:
August 19, 2008
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