№ lp_2_1_17498
The document provides a certification form used to apply for the SSI-E Exceptional Expense Supplement, detailing personal and financial information required for eligibility determination in Wisconsin.
Year: 2019
Region / City: Wisconsin
Topic: SSI-E Exceptional Expense Supplement Certification
Document Type: Certification Form
Agency / Institution: Department of Health Services, State of Wisconsin
Author: Not specified
Target Audience: Applicants for SSI-E Exceptional Expense Supplement
Period of Action: Not specified
Approval Date: Not specified
Date of Changes: Not specified
Price: 8 / 10 USD
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