This list was published on December 1, 2022.
Instructions for completing the form Application for Exemption or for Re-Evaluation.
Guide 3918
This list was published on June 23, 2021.
This list was published on June 28, 2021.
This form is used to request a change in the financial contribution amount required for an adult being accommodated via an intermediate resource. For instructions for completing the form, use the Guide to the Application for exemption.
Form 4475
This list was published on March 2, 2022.