477-SSP Request an Application for Services

Once you request an “Application for Services,” you will be scheduled an intake appointment within 5 working days. The application pending period is 45-days. Should you exceed 45-days, you can immediately reapply for services. Once the required documentation is submitted, the staff will determine eligibility within 5 working days. The staff will mail a Letter of Notification providing an eligibility determination with appeal rights.
Name(Required)
What County Do You Reside In?
What kind of services are you requesting?
You can read about these services on our 477-SSP Programs page.
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