Dss 8178 a-2025

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The document is a worksheet for a Crisis Intervention Program that outlines the process for calculating the income of ineligible aliens and eligible household members. It includes sections for computing both earned and unearned income, medical deductions, and determining total countable income to assess eligibility for assistance. The form requires detailed input on various income sources and expenses, ultimately leading to a determination of eligibility based on the calculated total countable income.

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