We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • Social Forms
  • Oregon Social Forms
  • Or Sds 0539a 2019

Get Or Sds 0539a 2019-2025

Page 1 of 12 Date received SDS 0539A 05/08 People living with you Use extra paper if needed How many people live with you First Relationship Sex M Are they applying for benefits If yes give types and complete the following Do they intend to stay in Oregon SSN Other important people A. Application Form Instructions Click on a question mark to find out more about verification of certain eligibility requirements. If you would like to apply for benefits please contact your local office Please notify your worker if you need to receive printed information in an alternate format such as Braille large print audio tape or computer disk. See form DHS 1005 Client Information Seniors and People with Disabilities SDS 539A Contact date/Date of request Last name First name MI Address City State Zip code Telephone Mailing address if different Date of birth Social Security Marital status single married divorced widowed separated Citizenship U*S* citizen non-citizen Gender M F Disabled yes no Blind yes ....

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to use or fill out the OR SDS 0539A online

The OR SDS 0539A form is essential for individuals seeking various services and assistance related to aging and disabilities in Oregon. This guide will provide a clear, step-by-step process to help you successfully complete this form online.

Follow the steps to effectively complete the OR SDS 0539A online.

  1. Press the ‘Get Form’ button to access the OR SDS 0539A and open it in your preferred editor.
  2. Begin by filling in the contact date and personal information. This section includes your first name, last name, middle initial, date of birth, and other identification details. Ensure each field is filled accurately to avoid processing delays.
  3. Provide your current address and any mailing address if it differs from your residential address. Include your city, state, and ZIP code.
  4. Indicate your marital status and gender. This helps establish your eligibility for specific programs.
  5. Fill out the income section by providing details of any income sources, such as employment, disability benefits, or support from family. Be thorough in listing all amounts and relevant claim numbers.
  6. Complete the people living with you section, detailing their names, birthdates, and relations to you. This affects the overall eligibility for services.
  7. Respond to the questions regarding safety and well-being, particularly if there are any concerns related to domestic threats.
  8. Indicate if you are applying for specific services, such as medical assistance or food benefits, ensuring to check the boxes that apply.
  9. Review the housing and medical costs sections, detailing any expenses related to your living situation or health care needs.
  10. After filling out the form, make sure to review all provided information for accuracy. Save changes, and utilize the download or print options to keep a copy for your records.

Complete your OR SDS 0539A online today to access the assistance you need.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Transmittal Cover Page
Oct 1, 2014 - Pend for the SDS 0539A as necessary. Send from the form server SDS 3401...
Learn more

Related links form

Court Ordered Anger Management Classes Priority Car Financing Corp Sample Of The Constitution Of A Soccer Club Cdi Live Scan Request Form Lic 442 39a

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get OR SDS 0539A
Get form
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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