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- Click ‘Get Form’ to open the W-137A in the editor.
- Begin by entering the date, case name, case number, caseload, center, and worker telephone number at the top of the form.
- In Section I, specify the type of emergency assistance you are requesting and provide a detailed reason for your request.
- Move to Section II and check off any additional allowances you are requesting for special needs, such as back rent or utility service restoration.
- Fill in your new address and any related moving expenses in the designated fields under Section II.
- In Section III, indicate any supportive services needed for work activities by checking appropriate boxes.
- If applicable, add individuals to your Cash Assistance case in Section IV by providing their names and relevant details.
- Finally, sign and date the form at the bottom before submitting it through our platform.
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