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Summary of Your Access Health CT Application
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About You
Previous Address
Answer the following questions if you are applying for SNAP
People in Your Home
Citizenship Status
Student Status
People in Your Home
Citizenship Status
Student Status
Household Member Summary
Household Relationships
Household Relationships Summary
Legally Liable Relatives
Other Questions About People In Your Household
Other Questions About Children In Your Household
Special Needs
Meals
Military Service
Criminal History
Pregnancy
Past Benefits
Past Benefits
Medicare
Medical Insurance
Medical Insurance
Household Details Summary
Cash, bank accounts and other assets
Cash, bank accounts and other assets
Real Property
Real Property
Life Insurance
Life Insurance
Burial Contracts and Plots
Burial Contracts and Plots
Vehicles
Vehicles
Lawsuits
Lawsuits
Inheritance
Sales, Transfers or Gifts
Sales, Transfers or Gifts
Assets Summary
Self-Employment Income
Self-Employment Income
Work Income
Work Income
Job Loss or Reduced Hours
Job Loss or Reduced Hours
Striker Status
Other Income
Other Income
Applying for Other Benefits
Application for Other Benefits
Income Summary
Dependent Care Expenses
Dependent Care Expenses
Medical Expenses
Medical Expenses
Court-Ordered Child Support
Shelter Expenses
Shelter Expenses
Utility Expenses
Work Related Expenses
Expense Summary
Authorized Representative
Authorized Representative(s) Summary
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