Authorization for disclosure of information (Department of Social Services Form) - may be required for emissions economic hardship time extension application

Temporary Family Assistance

This government document is issued by Temporary Family Assistance for use in Connecticut

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File Details: PDF (1.03 MB)
Downloads: 4
Source
https://portal.ct.gov/-/media/Departments-and-Agencies/DSS/Common-Applications/W-298.pdf

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