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Click ‘Get Form’ to open the soc 295 application in the editor.
Begin with Section 1, Personal Information. Fill in your name, Social Security Number, address, telephone number, email, date of birth, and sex. Ensure all fields are completed accurately.
Proceed to Section 2 for optional Sexual Orientation and Gender Identity information. Select your gender identity and sexual orientation as applicable.
In Section 3, indicate if you are a Veteran or a Spouse/Child of a Veteran by checking the appropriate boxes.
Complete Section 4 regarding SSI/SSP Information by answering whether you receive these benefits and specifying your living arrangement.
Continue to Section 6 to list household members. Provide names and birthdates as required.
Fill out Section 9 by affirming that the information provided is true and sign at the end of the form.
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