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| Owner: | Division of Family Assistance |
| Effective Date: | 07/01/2009 |
| Determination of Incap Status-Form 720. Authorizes the FANF applicants physician or psychologist to disclose protected health information to the DHHS and obtains documentation from a physician or psychologist for an individual claiming to be physically or mentally incapacitated. This information is used in the FANF eligibility determination process to determine the incapacity of a parent that will last at least 30 continuous days. |
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