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  • State Of Ct Form W 1487 2015

Get State Of Ct Form W 1487 2015-2025

Not needed if a health screen is attached. Applicant s name W-1487 Rev. 1/12 Name of facility Address Telephone Number Staff member Date Projected NH Admission Date Hospital Discharge Date CONNECTICUT HOME CARE PROGRAM FOR ELDERS HOME CARE REQUEST FORM The State of Connecticut wants to give you an opportunity to stay home instead of going to a nursing home.

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Please consider using self-service options which is available **24/7 such as the MyDSS mobile-friendly app: .ct.gov/mydss; or online MyAccount .connect.ct.gov; or 1-855-626-6632 for automated client information line.

DSS Client Information Line and Benefits Center Call 1-855-626-6632. (TTD/TTY 1-800-842-4524 for persons with speech or hearing difficulties) Follow the prompts to get the information you need.

The Department of Social Services (DSS) delivers and funds a wide range of programs and services as Connecticut's multi-faceted health and human services agency. DSS serves about 1 million residents of all ages in all 169 Connecticut cities and towns.

Governor Lamont Announces Plans To Appoint Andrea Barton Reeves as Commissioner of the Department of Social Services, Dr. Deidre Gifford as Executive Director of the Office of Health Strategy at Start of Second Term.

To upload documents: Locate the documents on your computer by using the “Browse” button; Select the type of document you are uploading then select “upload”; Your documents will be electronically sent to DSS. Note: please upload each type of document separately.

​DSS Office hours: Weekdays from 8:00 a.m. to 4:30 p.m.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232