State Family Pre-SSI/SSDI (SFPSS)

Referral Checklist PDF file

SFPSS Coding

Presumptive SSI Criteria

Forms

Presumptive SSI Criteria

PDF available for printing PDF file

Children

Immediate referral to SFPSS Disability Analyst (Word) when one or more are checked.

Forms

  • SFPSS Self Referral (DHS 7816)
  • SFPSS Referral to Disability Analyst (DHS 7813)
  • SFPSS Interim Assistance Authorization (DHS 7814)
  • SFPSS JOBS Program Exit Summary (DHS 7815)
  • SFPSS Denial Notice (DHS 7817)
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