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CLIMB to Employment Release Form

Form Details

Owner: Labor, Vocational Rehabilitation

Link: http://www.delawareworks.com/dvr/services/docs/Release%20form.doc

Referring Page - Project CLIMB

Description: To release to CLIMB to Employment Consortium any benefits information which the Consortium may request on public support benefits (SSI/SSDI, Medicaid/Medicare, TANF, Food Stamps, HUD, etc.) and private benefits that could be impacted if working or decide to pursue employment.

Form Options

Word Document - This type of document can be Viewed, Filled-in, and Printed online. To open this type of document you will need to have Microsoft Word or the Word Viewer installed on your computer. If you do not have Microsoft Word installed on your computer you can download a free viewer from Microsoft. Get Microsoft Word Viewer

Last Updated: Wednesday, 04-Nov-2009
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