DSS: Publications & Brochures

{Connecticut Department of Social Services}

Department of Social Services
25 Sigourney Street
Hartford, CT 06106-5033

{Census 2010}

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{Adobe logo} {Abode PDF Icon} Note: Many of the following publications are available in Adobe Acrobat format to download. The Acrobat PDF format makes the publications very easy to print and to view off-line. Just find the Acrobat icon located next to the publication name to download that specific publication in Acrobat format. If you don't have the Adobe Acrobat reader, click on the yellow button to download it for FREE.

Child Care Assistance

The state has prepared a comprehensive child care plan to access federal funds, including the new child care stimulus funds for programs and services over the next two years. The Connecticut Department of Social Services (DSS) Family Services & Child Care Team*, in collaboration with the State Child Day Care Council has held three public hearings and received written comments from Connecticut residents and advocates.

Follow this link to view the Connecticut Child Care and Development Fund (CCDF) Plan - 2010-2011. This plan was submitted on June 30, 2009 for approval by the Administration for Children and Families.

Fact Sheets

Digital Imaging Fact Sheet (55KB)

Applications

Application for Assistance W-1F (4780KB)

Application for Assistance W-1FS (Documento Especial de Determanación de Eligibilidad) (314 KB)

Note: One or two person households who wish to apply for cash assistance, medical assistance including help paying for a nursing home or food stamps, should use this application. You should print this application, complete it and return it to your local DSS office as soon as possible even if you do not have all of the required information. This application cannot be submitted electronically. Please consult the pamphlet Long Term Care Issues & Medicaid for a complete description of the eligibility requirements for nursing home assistance.

Aquired Brain Injury (ABI) Waiver Request Form (23KB) - (Versión en Español)

CADAP Application (345KB) -revised August 2003

CADAP Application (en Español) (367KB) -revised August /2003

{Internet Icon} ConnPACE Application (English and Spanish versions)

CT Home Care Program for Elders Home care Request Form(W-1487)(108KB)

Programa De Cuidado En El Hogar Para Los Envejecientes De Connecticut Forma De Solicitud Para Cuidado En El Hogar (W-1487S) (113KB)

Elderly Services Medicine Record

Eligibility Determination Document (W-1E) with Instructions (6,258KB)

Aplicación 2a Parte: (W-1ES) Documento de Determinación de Elegibilidad (364 KB)

Application for SNAP Only (133KB)

Solicitud para Beneficios de SNAP Solamente (137KB)

HUSKY Application