Publications
Page 24 of 27
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Temporary Family Assistance (TFA) Fact Sheet
Online access – Visit the www.ct.gov/dss website and go to Clients/Applicants, then How to Apply. From here you can print an application for mailing to the agency. Or, click on the ConneCT icon at www.ct.gov/dss to apply online.
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Therapeutic Diet Request W-351
Therapeutic Diet Request.
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U.S. Citizenship - What you Need to Know for your benefits in Medicaid and HUSKY (85KB)
If you are a citizen (which includes a naturalized citizen or a national of the United States), federal law now requires you to prove your citizenship and your identity if you want Medicaid, HUSKY A or HUSKY B* health coverage.
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Una breve guía a los Servicios de Pensión para ninos(as) Alimenticia en Connecticut
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Vendor Direct Deposit Form W-260
Vendor Direct Deposit Form
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Client Rights and Responsibilities - W-0016RR Rev 1-23 - English
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Client Rights and Responsibilities - W-0016RRS Rev 1-23 - Spanish
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W-0534FHS - Audiencia Imparcial - Rev. 05-23
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Request for Replacement SNAP Benefits
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Request for Replacement SNAP Benefits - Spanish
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Proof of Food Loss Form