What is PA 1663 form for?

COMPLETION INSTRUCTIONS - EMPLOYABILITY ASSESSMENT FORM (PA 1663) An individual with a physical or mental disability which temporarily or permanently precludes him or her from any gainful employment may be eligible for General Assistance, GA. This form must be completed to document the disability.

This Medical Assessment Form (PA 635) is needed to determine whether an individual is able to participate in employment and training activities, what treatment plan(s) could help the individual move towards employment, or determine if the individual is a good candidate for disability benefits or is pregnant.

Get PA PA 1663 (SG) 2010-2024

PLEASE READ INSTRUCTIONS BEFORE COMPLETING FORM COMPLETION INSTRUCTIONS - EMPLOYABILITY ASSESSMENT FORM (PA 1663) An individual with a physical or mental disability which temporarily or permanently.

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