Emergency Assistance Application
Document Number: DCF-F-DWSP2010
Description: Emergency Assistance Document
Comments: This application is to determine eligibility for emergency assistance based on the nature of the emergency and total financial need. Instructions for completion are found on pages 5 and 6 of this applications. Form is protected from modification; it should be printed and completed by hand.
Document Attachments:
DCF-F-DWSP2010 (English Print Version - pdf/70 KB)
DWSP-2010-H (Hmong Print Version - pdf/65 KB)
DCF-F-DWSP2010-S (Spanish Print Version - pdf/67 KB)
DCF-P-DWSP16313 (Information on Applying for Emergency Assistance)
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