Ldss 3174-2026

1. Click ‘Get Form’ to open the ldss 3174 in the editor.
2. Begin by filling out the top section, including your Center/Office, Interview Date, Unit ID, Worker ID, Case Type, and Case Number. Ensure all information is accurate.
3. In Section 1, check each program you or any household member are recertifying for. This includes Public Assistance (PA), Supplemental Nutrition Assistance Program (SNAP), and Medicaid (MA).
4. Proceed to Section 2 and indicate your primary language. This helps ensure you receive notices in a language you understand.
5. Complete Sections 3 through 24 by providing detailed information about your household members, income sources, expenses, and any changes since your last application. Be thorough to avoid delays.
6. Once all sections are filled out, review the form for accuracy. Use our platform's editing tools to make any necessary adjustments before finalizing.
7. Sign and date the certification section at the end of the form to confirm that all information provided is true and complete.

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