Daas 8191 form-2025

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The document is a Special Assistance Re-enrollment Information Notice from the Department of Social Services (DSS) that outlines the process for reviewing eligibility for the State/County Special Assistance program. It requires recipients to report their income and assets, provides information on health insurance, and details the rights and responsibilities of applicants and recipients. The form must be completed and returned by a specified date to ensure continued benefits.

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