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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Click ‘Get Form’ to open the dss 8178 a in the editor.
Begin with Section I, where you will compute the ineligible alien’s income. Fill in the earned and unearned income for each ineligible alien listed.
Calculate the total countable gross income and number of household members. Use these figures to determine the prorate share and amount to count.
Proceed to Section II for net earned income. Enter gross wages for each household member and any business or self-employment income, then calculate total gross wages.
List work-related expenses for each member, including legal support obligations and child care, then compute total expenses.
In Section III, input all sources of unearned income such as benefits and child support, then sum them up.
Complete Section IV by entering medical deductions per specified person before moving on to Section V for total countable income calculations.

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