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Get and Sign Department of Transitional Assistance Permission to Share 2018 Form

Get and Sign Department of Transitional Assistance Permission to Share 2018 Form

Use a Department Of Transitional Assistance Permission To Share 2018 template to make your document workflow more streamlined.

Four Digits of SSN Date of Birth Section 2 Information to be Shared check one or both I allow DTA to share information about my TAFDC EAEDC and/or SNAP case with the SNAP Outreach Partner organization named in Section 3. I allow DTA and the SNAP Path to Work Provider named in Section 3 to share information about my TAFDC EAEDC and/or SNAP case to determine my eligibility for the SNAP Path to Work program and to share information about my participation and progress in the SNAP Path to Work...
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