Emergency Assistance Application
Document Number: (Part 1) DCF-F-DWSP2010 and (Part 2) DCF-F-DWSP2010-E
Description: Emergency Assistance Documents
Comments: The application form for Emergency Assistance is a 2 part document. Part 1 is to be completed by the applicant. Part 2 is a financial eligibility and payment determination worksheet in excel format and is to be completed by the worker. NOTE: On the excel spreadsheet you will need to print out both tabs. The excel worksheets are form fillable.
Document Attachments:
DCF-F-DWSP2010 (English Print Version - pdf/70 KB)
DCF-F-DWSP2010-E (Financial Eligibility and Payment Determination Worksheets)
DCF-F-DWSP2010-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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