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Applying for SER

The Client Application Process explains what will happen when you apply for assistance, information you should bring with you, your rights and responsibilities, etc.

If you are already receiving help from the Department of Human Services (DHS) you must contact your specialist and complete the Application for State Emergency Relief (SER). All others must complete both the Assistance Application and the supplemental Application for SER. Applications are available below or from a local DHS office. Hand-deliver, mail or fax your application(s) to the DHS office.


Related Documents
DHS 1171 Information Booklet, Assistance Application and Filing Form - 2975090 bytes PDF icon
DHS 1514 Application for State Emergency Relief - 78632 bytes PDF icon
DHS-1171-SP, Assistance Application and Information Booklet - Spanish - 1051172 bytes PDF icon
DHS-PUB-0631, You and Your Energy Bills - 164890 bytes PDF icon
DHS-1514-SP, Solicitud Para Ayuda de Emergencia del Estado (Spanish version of the Application for State Emergency Relief) - 29468 bytes PDF icon
DHS-4574 Medicaid Application Patient of Nursing Facility - 54484 bytes PDF icon

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