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Services, whether state or medicaid funded, you must complete this form. Low Intensity Support Services (LISS) do not require an application. If you need help with this application, call Toll Free 1-877-4MD-DHMH * TTY for Disabled - Maryland Relay service 1-800-735-2258 PART I: APPLICANT'S INFORMATION LAST Name FIRST Name Date of Birth (MM/DD/YYYY): MIDDLE Name Social Security Number: Permanent Mailing Address: Apt# Street Address City State Are you a resident of Maryland? Yes Teleph.

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  8. Select Done in the top right corne to export the sample. There are several choices for receiving the doc. As an instant download, an attachment in an email or through the mail as a hard copy.

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Dealing with DDA Application in our robust online editor is the fastest and most efficient way to manage, submit, and share your paperwork the way you need it from anywhere. The tool operates from the cloud so that you can utilize it from any place on any internet-connected device. All templates you generate or complete are securely kept in the cloud, so you can always access them whenever needed and be assured of not losing them. Stop wasting time on manual document completion and get rid of papers; make it all on the web with minimum effort.

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Developmental Disabilities Administration (DDA) Overview DDA services are varied, among them employment services, assistance providing personal care, respite services, environmental modification, and housing. Contacting DDA: PHONE: 1-800-974-4428.

DDA Form means the Direct Debit Authorisation Form prescribed by the Company for the purpose of authorising the Company to charge any and all Instalments to the Card of the Cardholder, subject to the terms and conditions of the Program (defined below) set out therein; Sample 1.

The Developmental Disabilities Administration is transforming lives by providing support and fostering partnerships that empower people to live the lives they want.

Disposition and Development Agreement (DDA means an agreement that sets forth requirements for the sale, lease, exchange acquisition, or disposal of real property owned by the Agency, where a specific type of project is developed.

The Maryland Department of Health's Developmental Disabilities Administration (DDA) works together with children and adults who have intellectual and developmental disabilities to get support and resources so that they can have good lives.

The most common developmental disability is intellectual disability. Cerebral palsy is the second most common developmental disability, followed by autism spectrum disorder. Other developmental disabilities may include: Attention-Deficit/Hyperactivity Disorder.

Developmental disabilities are a group of conditions due to an impairment in physical, learning, language, or behavior areas. About one in six children in the U.S. have one or more developmental disabilities or other developmental delays.

In order for the DDA to determine whether a person is eligible, the person or someone acting on their behalf must complete the DDA application process. The process includes completing the DDA Application for Eligibility, submitting supporting documentation, an interview by a DDA representative, and a DDA determination.

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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
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 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