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What is pa form 1897?

WRITING FROM THE DEPARTMENT, TO DISCLOSE ANY MONEY IN SALARY, WAGES, COMPENSATION, AND THE AMOUNTS AND DATES OF SUCH SALARY. THE DEPARTMENT CERTIFIES THAT THE EMPLOYEE BELOW IS APPLYING FOR, RECEIVING OR DID RECEIVE PUBLIC ASSISTANCE, OR IS A LEGALLY RESPONSIBLE RELATIVE OF THE EMPLOYEE.

What is the PA 1795 form?

Appendix B: Medical Assistance Automated Renewal Forms Form NumberDescriptionPA 1795Household Members/Living ExpensesPA 1796Household Composition Verification StatementPA 1809Citizenship and Identity InformationPA 1819Affidavit Attesting to Identity of Minor Child31 more rows

pa 1897

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