Form 120 - 3SquaresVT/3SquaresVT in a SNAP Out-of-Pocket Medical Expenses |
Form 137 - Child & Medical Support Authorization/ Application for OCS Service |
Form 139AP - Alternate Payee Permission Form |
Form 139AR - Alternate Reporter Request |
Form 139REP - Authorized Representative Form |
Form 200 - Change Report |
Form 201A - Agreement to Report Changes |
Form 201DD - Direct Deposit Request |
Form 202H - Shelter Expense Statement |
Form 202IR - Interim Report |
Form 204B - Business Income and Expenses Sole Proprietorship |
Form 207 - Protective Payment Agreement |
Form 210A - Training and Employment Medical Reports |
Form 216 - Student Self Declaration of Financial Aid and Expenses |
Form 218 - Income Verification |
Form 218E - Employment Information |
Form 218EC – Change in Employment Verification |
Form 218ET - End of Employment Verification |
Form 218WFV - Workfare Verification Form (fillable) |
Form 271 - Attestation of Loss and Request For Replacement 3SquaresVT Benefits |
Form 614FDP - Initial Family Development Plan (fillable) |