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  • Dss Form W 303a

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STATE OF CONNECTICUT DEPARTMENT OF SOCIAL SERVICES Permission to Share Medical Information W-303A (Rev. 05/15) Name of DSS Client Client ID # or SSN# I authorize to disclose the information indicated.

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Deidre Gifford as executive director of the Connecticut Office of Health Strategy (OHS) when he begins his second term in office early next year. Gifford is currently the commissioner of DSS and Barton Reeves is CEO of the Connecticut Paid Leave Authority.

**The Office of Child Support Services is open by appointment only, Monday – Friday, from 8 a.m. to 4 p.m. Office locations and contact information at .ct.gov/dss/childsupport/contact.

DSS is now available online (.connect.ct.gov), on the phone (1-855-6-CONNECT, or 1-855-626-6632), and in person at 12 offices (Field Offices).

Use the MyDSS mobile-friendly app: .ct.gov/mydss. Apply & renew services at .connect.ct.gov, plus get benefit status, notices, report changes, upload/send documents & more!

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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