Massachusetts dta - Payments Platform Paysafe Ltd (NYSE:PSFE) said it is expanding into the new Massachusetts mobile sports-betting market. The c... Indices Commodities Currencies ...

 
Upload your documents through the app. Here’s How! 1. art by “submit verification” This lets you pick the type of document you want to send. 2- Then click the camera icon to take a picture or select your document. 3- Finally Click Submit and your document will upload. Guide to DTA Connect Brochure (9/2018) DTA Connect.. 1st premier bank card

1. How can I find out if I’m eligible for SNAP? The fastest way to find out if you are eligible is to visit the DTA Connect Screening Tool.You can also apply online at DTAConnect.com, over the phone via the DTA Assistance Line (877-382-2363 – press 7) or send a paper application.If you need to access a phone or the internet …1515 Hancock Street, Suite 105, Quincy, MA 02169 Directions. DTA’s local office lobby is open for services, including new self-service options. Visit the services section on this page to learn about all the things you can do at a DTA office and ways to contact the Department. Phone. (617) 249-8200. You can apply for SNAP, TAFDC, and EAEDC online at DTAConnect.com or over the phone on the DTA Assistance Line at 877-382-2363 (press 7) (help in over 100 languages). Learn all you can do to manage your case 24/7 without visiting a DTA office (e.g., submit documents, request letter showing your DTA benefits, etc.) at Mass.gov/ContactDTA. If you receive the message “record not matched” that means you already have a DTA Connect account under a different email address. Watch our tutorial video and see our step-by-step instructions on how to log in. If you continue to have issues, email our IT help desk at [email protected] with your Agency ID.If you receive the message “record not matched” that means you already have a DTA Connect account under a different email address. Watch our tutorial video and see our step-by-step instructions on how to log in. If you continue to have issues, email our IT help desk at [email protected] with your Agency ID.An official website of the Commonwealth of Massachusetts Here's how you know. Official websites use .mass.gov ... DTA Assistance Line Call Department of Transitional Assistance (DTA), DTA Assistance Line at (877) 382-2363. The DTA Assistance Line is open from 8:15 A.M. to 4:45 P.M. Online.As a caregiver, you can apply for TAFDC for yourself and the child (ren) or only the child (ren) in your care. If you apply only for the child (ren) DTA will not look at your income when you apply, even though the application is in your name. If the child in your case has income, that may affect eligibility. and: You live in Massachusetts,Viral Respiratory Illness Reporting. The following dashboards provide data on contagious respiratory viruses, including acute respiratory diseases, COVID-19, influenza (flu), and respiratory syncytial virus (RSV) in Massachusetts. The data presented here can help track trends in respiratory disease and vaccination activity across Massachusetts.Tell DTA about these costs by sending a written note on DTA Connect or calling DTA at 877-382-2363, OR If it is easier for you, take a picture of supporting documents and upload them on DTA Connect. Examples include: statement from you about care costs, car mileage, or other transportation costs to and from the provider.The SNAP Application Process: Submit an Application This should take about 20 minutes. Send in Verifications We'll give you a list of documents to send in so we can verify your eligibility. EBT Card We will send you an EBT card right away.It works like debit card.You will not have benefits unless/until you are approved. DTA offers cash, food, and job assistance to individuals and families in Massachusetts. Learn about SNAP, TAFDC, EAEDC, and how to apply online or in person. As a SNAP Outreach Partner of DTA, Project Bread's role is to make it easier for people in Massachusetts to get SNAP and help anyone having trouble applying. Project Bread Logo 145 Border Street, East Boston, MA 02128-1903Hyannis, MA 02601. Get Directions. Phone (508) 862-6600 DTA Local Office (8:00 am-5:00 pm) Web https://dtaconnect.eohhs.mass.gov. Web Go to site. Hours 8am-5pm. Area (s) Served: Individuals and families. Fees: Please contact provider for fee information. Application Process: You can apply for benefits at your local office, online at …It may take 3 - 5 days to receive your replacement card by mail. Call EBT Customer Service at 800-997-2555 (select language, then option 3 to report lost/stolen card). Go online at DTAConnect.comor to the DTA Connect mobile app. Under ‘My Info’, click on ‘Request an EBT Card’. You can track the card on DTA Connect. Information about Pandemic EBT, or P-EBT. P-EBT is a federal food assistance program created in Spring 2020. The Department of Transitional Assistance (DTA), in collaboration with the Department of Elementary and Secondary Education (DESE), received approval to temporarily operate this program during the COVID-19 pandemic. Electronic Benefits Transfer (EBT) cards are how the Department of Transitional Assistance (DTA) delivers its core services: food (SNAP benefits) and economic assistance (cash benefits – TAFDC/EAEDC). Our multilingual brochures can be shared to help explain what an EBT card is and how to use it.Hier sollte eine Beschreibung angezeigt werden, diese Seite lässt dies jedoch nicht zu.1. Call the DTA Assistance Line at 877-382-2363. 2. Listen to the options and press the number for your language. 3. Select 2 for a domestic violence specialist. 4. Enter your 5 digit zip code. If you a cash benefits applicant/recipient, you can also call your case manager.How does DTA count income for SNAP? DTA counts income and expenses using a monthly average calculation of 4 and 1/3 weeks for each month. For example, if your gross earnings are $500 per week, we would calculate your monthly earnings this way: $500 x 4.333 = $2,166.50 per month. Note: Sometimes, we may count some …The Healthy Incentives Program (HIP) helps you buy more fruits and vegetables for your household. The Department of Transitional Assistance (DTA) thanks donors who have contributed to the Healthy Incentives Program (HIP) to fund client incentives. Based on feedbacks we received from the public, DTA has updated how we calculate the Average ...The Department of Transitional Assistance (DTA) created the Senior Assistance Office to help decrease these access barriers. The SAO serves seniors who apply for SNAP benefits using the SNAP application for seniors. The SAO also serves SNAP-only seniors who call the new SAO phone line at ( 833) 712-8027 .The TAFDC/EAEDC Application Process: Initiate an Application This should take about 10 minutes. Phone Call We will call you to complete your application. Send in Verifications We'll give you a list of documents to send in so we can verify your eligibility. Get CASH Benefits We'll make a decision within 30 days.McCue previously served as DTA Commissioner from 2015 to 2019. “I am so glad to welcome Jeff back to DTA where he has a proven track record of supporting Massachusetts residents, helping them meet their basic needs and achieve long-term economic self-sufficiency,” said Secretary Walsh. “We are grateful for his commitment to …Applicants and clients have the right to disagree with and file an appeal against certain actions taken by the Department of Transitional Assistance (DTA). This is done through DTA’s Division of Hearings (DOH), an independent unit within DTA. If you disagree with certain actions or decisions made by DTA, you have the right to appeal.Mid-winter is a hard time to stay motivated to be active. It is cold, it gets dark early, and many people are trying to settl…. Jan/16/24. The official Massachusetts SNAP-Ed website, includes blog …With the recent news of former Massachusetts Governor Deval Patrick’s entry into the 2020 presidential race—and the very real possibility of Michael Bloomberg’s run—keeping up with...HIP is a state-funded program. Vendors and each terminal used to process HIP must be enabled individually by DTA. The 2022 HIP Vendor Notice of Opportunity solicited applications from agricultural vendors for consideration to onboard as HIP vendors in an effort to expand HIP access points. The application period closed June 17, 2022.Boston, Massachusetts transit department under fire for proposed $100K bathroom in new MBTA board room in the state transportation building. By clicking "TRY IT", I agree to receiv...The Massachusetts Department of Transitional Assistance (DTA) assists and empowers low-income individuals and families to meet their basic needs, improve their quality of life, and achieve long ...The SNAP Application Process: Submit an Application This should take about 20 minutes. Send in Verifications We'll give you a list of documents to send in so we can verify your eligibility. EBT Card We will send you an EBT card right away.It works like debit card.You will not have benefits unless/until you are approved.SNAP Benefit Application | Mass.gov. Health & Social Services. SNAP benefits (formerly food stamps) Apply for SNAP benefits (food stamps) offered by. Department of Transitional Assistance. This is a part of: DTA Documents & Forms. DTA Assistance Line (by phone) Call DTA Assistance Line at (877) 382-2363. DTA Assistance Line. You can get case information and make certain updates to your case 24/7 via automated prompts. You can also speak with a worker Monday through Friday from 8:15am to 4:45pm. See the DTA Assistance Line Roadmap for help navigating the through the prompts. To download DTA Connect to your Android phone or tablet. Tap the Google Play icon on your device. Tap Search. In the search box, type DTA Connect. From the results list, tap the DTA Connect icon. Tap INSTALL. Boston, Massachusetts is known for its rich history, diverse culture, and world-class educational institutions. With numerous universities and colleges located within the city limi...A student’s P-EBT benefit amount per month will depend on the student’s number of school-reported COVID-related absences for each month. The amounts are: 1-5 absences: $25 a month per student. 6-15 absences: $82 a month per student. 16+ absences: $147 a month per student.use the DTA Connect mobile app, or call the DTA Assistance Line at 1-877-382-2363 to check case status, update case information, upload documents, and much more! If you want more information or need help, call 1-877-382-2363 or visit Mass.gov/DTA. To download DTA Connect to your Android phone or tablet. Tap the Google Play icon on your device. Tap Search. In the search box, type DTA Connect. From the results list, tap the DTA Connect icon. Tap INSTALL. The Massachusetts lottery tax percentage currently stands at five percent. That is the rate you would be taxed at the state level if you won the lottery. However, you must also pay...DUA oversees the unemployment insurance (UI) program, which provides temporary income assistance to eligible workers in Massachusetts. DUA also determines and collects employer contributions to the UI program. To report fraud or get help with your claim, call Unemployment Customer Assistance at (877) 626-6800. You can apply for SNAP, TAFDC, and EAEDC online at DTAConnect.com or over the phone on the DTA Assistance Line at 877-382-2363 (press 7) (help in over 100 languages). Learn all you can do to manage your case 24/7 without visiting a DTA office (e.g., submit documents, request letter showing your DTA benefits, etc.) at Mass.gov/ContactDTA. Hier sollte eine Beschreibung angezeigt werden, diese Seite lässt dies jedoch nicht zu.If your DTA benefits have been stolen through skimming, phishing, or another electronic method of theft, please fill out the form on this page and click the "Submit your claim" button once completed. For more information on skimming, phishing, or another electronic method of theft, please visit the Protect Your Benefits From Scams page.SNAP Application for Seniors | Mass.gov. Health & Social Services. SNAP benefits (formerly food stamps) Apply for SNAP benefits (food stamps) offered by. Department of Transitional Assistance. This is a part of: DTA Documents & Forms.Also, Massachusetts households who receive SNAP benefits can automatically participate in the Healthy Incentives Program (HIP). HIP puts money back on an EBT card when SNAP is used to buy local fruits and vegetables from HIP farm vendors, up to $40, $60 or $80 a month depending on household size. ... The Department of … DTA Commissioner Jeffrey McCue. The Department of Transitional Assistance's Commissioner's Office is comprised of the agency's leadership, including the heads of various divisions, as well as communications, administration, and operations. DTA Commissioner's Office. 600 Washington Street, 5th Floor. Boston, MA 02111 The Massachusetts Department of Housing and Community Development (DHCD) is hosting a housing lottery for affordable housing units in the state. This is an exciting opportunity for...phone-small (877) 382-2363; twitter @DTA_Listens; Contact us; Site Policies; Accessibility; The mission of the Department of Transitional Assistance is to assist and empower low-income individuals and families to meet their basic needs, improve their quality of life, and achieve long-term economic self- sufficiency.The SNAP Application Process: Submit an Application This should take about 20 minutes. Send in Verifications We'll give you a list of documents to send in so we can verify your eligibility. EBT Card We will send you an EBT card right away.It works like debit card.You will not have benefits unless/until you are approved. Before you start. In response to the recent state of emergency, the Department is temporarily allowing individuals to begin an application for EAEDC online. Please fill out the following questionnaire and a DTA representative will call you to complete your application. The Department of Transitional Assistance (DTA) submits this comprehensive report on the efforts of its Program Integrity Division (PI), as required by sections 2(B) and 5I of Chapter 18 of the Massachusetts General Laws. DTA’s mission is to assist and empower low-income individuals and families to meet their basic needs, improve their ...The Massachusetts lottery tax percentage currently stands at five percent. That is the rate you would be taxed at the state level if you won the lottery. However, you must also pay... DTA Assistance Line (by phone) Call DTA Assistance Line at (877) 382-2363. DTA Assistance Line. You can get case information and make certain updates to your case 24/7 via automated prompts. You can also speak with a worker Monday through Friday from 8:15am to 4:45pm. See the DTA Assistance Line Roadmap for help navigating the through the prompts. In 2021, Massachusetts had a population of 6.99M people with a median age of 39.6 and a median household income of $89,026. Between 2020 and 2021 the population of Massachusetts grew from 6.87M to 6.99M, a 1.73% increase and its median household income grew from $84,385 to $89,026, a 5.5% increase.Human Service Assistant. Dept of Transitional Assistanc. Framingham, MA 01702. $53,580.80 - $73,010.60 a year. Full-time. Day shift. Exchange information with internal and external contacts per existing department policies. Utilize Department systems and equipment and provide ongoing…. Posted.Learn how to connect with the Department of Transitional Assistance (DTA) in Massachusetts, including to apply for benefits, submit documents, request an EBT card …The Massachusetts DTA's YPP is a year-round, full-time program that focuses on education to career pathways as the primary goal for young parents, ages 14 through 24, who are receiving TAFDC or are the non-custodial parents of a child receiving TAFDC. The YPP program will provide you with educational, vocational, career …Also, Massachusetts households who receive SNAP benefits can automatically participate in the Healthy Incentives Program (HIP). HIP puts money back on an EBT card when SNAP is used to buy local fruits and vegetables from HIP farm vendors, up to $40, $60 or $80 a month depending on household size. ... The Department of …An official website of the Commonwealth of Massachusetts Here's how you know. Official websites use .mass.gov. A .mass.gov website belongs to an official government organization in Massachusetts. Secure websites use HTTPS certificate . A lock icon ( ) or https:// means you’ve safely connected to the official website. …As a SNAP Outreach Partner of DTA, Project Bread's role is to make it easier for people in Massachusetts to get SNAP and help anyone having trouble applying. Project Bread Logo 145 Border Street, East Boston, MA 02128-1903The SNAP Application Process: Submit an Application This should take about 20 minutes. Send in Verifications We'll give you a list of documents to send in so we can verify your eligibility. EBT Card We will send you an EBT card right away.It works like debit card.You will not have benefits unless/until you are approved.Viral Respiratory Illness Reporting. The following dashboards provide data on contagious respiratory viruses, including acute respiratory diseases, COVID-19, influenza (flu), and respiratory syncytial virus (RSV) in Massachusetts. The data presented here can help track trends in respiratory disease and vaccination activity across Massachusetts.An official website of the Commonwealth of Massachusetts Here's how you know. Official websites use .mass.gov. A .mass.gov website belongs to an official government organization in Massachusetts. Secure websites use HTTPS certificate. A lock icon ( ) or https:// means you’ve safely connected to the official website. Share sensitive information only on …A .mass.gov website belongs to an official government organization in Massachusetts. Secure websites use HTTPS certificate. A lock icon ( ) or https:// means you’ve safely connected to the official website. Share sensitive information only on official, secure websites. Skip to main content Mass.gov Menu Close …Each Department of Transitional Assistance (DTA) program has certain income guidelines. Find the program and chart that applies to your household. On this page, you can view … TAFDC and EAEDC are economic assistance (cash benefit) programs that help individuals and families explore opportunities, improve their finances, and reach their goals. Transitional Aid to Families with Dependent Children (TAFDC) and Emergency Aid to the Elderly, Disabled and Children (EAEDC) are administered through the Department of ... Fax. DTA Document Processing Center (617) 887-8765. You must meet certain requirements to get Emergency Aid to the Elderly, Disabled and Children (EAEDC). While you’re thinking about applying, keep these rules in mind. Their information is available on DTA Connect. Steps to update your number via the automated prompts on the DTA Assistance Line: Call the DTA Assistance Line at 877-382-2363. Select your language. Enter your information to authenticate. Select 1 for SNAP. Select 2 to report a phone number change. 2. If you get SSP payments only and no other benefits from the Department of Transitional Assistance (DTA), you can request benefit verification from SSP. If you get SSP payments AND other benefits from DTA, you must contact the DTA Assistance Line at (877) 382-2363 for a benefit verification letter. If you are authorized for access to someone’s SSP case, … DTA Fitchburg Center Transitional Assistance Office 49 Nursery Lane, Suite 101, Fitchburg, MA 01420 Directions DTA’s local office lobby is open for services, including new self-service options. SNAP Application for Seniors | Mass.gov. Health & Social Services. SNAP benefits (formerly food stamps) Apply for SNAP benefits (food stamps) offered by. Department of Transitional Assistance. This is a part of: DTA Documents & Forms.Phone. (877) 382-2363. Get case information and make certain updates to your case 24/7 via the automated prompts. Talk to a case manager between 8:15am-4:45pm, M-F. DTA’s local office lobby is open for services, including new self-service options. Visit the services section on this page to learn about all the things you can do at a DTA office ...twitter @DTA_Listens; Contact us; Site Policies; Accessibility; The mission of the Department of Transitional Assistance is to assist and empower low-income individuals …SNAP is a federal nutrition program administered by the Department of Transitional Assistance (DTA) for Massachusetts residents. SNAP benefits include: Monthly funds on a debit-like EBT card to buy food; An additional $40, $60 or $80 a month put back on your EBT card when you use SNAP to buy local produce via the Healthy …phone-small (877) 382-2363; twitter @DTA_Listens; Contact us; Site Policies; Accessibility; The mission of the Department of Transitional Assistance is to assist and empower low-income individuals and families to meet their basic needs, improve their quality of life, and achieve long-term economic self- sufficiency. DTA Assistance Line (by phone) Call DTA Assistance Line at (877) 382-2363. DTA Assistance Line. You can get case information and make certain updates to your case 24/7 via automated prompts. You can also speak with a worker Monday through Friday from 8:15am to 4:45pm. See the DTA Assistance Line Roadmap for help navigating the through the prompts. The Healthy Incentives Program (HIP) helps you buy more fruits and vegetables for your household. The Department of Transitional Assistance (DTA) thanks donors who have contributed to the Healthy Incentives Program (HIP) to fund client incentives. Based on feedbacks we received from the public, DTA has updated how we calculate the Average ...Hier sollte eine Beschreibung angezeigt werden, diese Seite lässt dies jedoch nicht zu.SNAP benefits are provided by the federal government and administered by DTA. ... Massachusetts DTA. Massachusetts Department of Transitional Assistance (DTA) Outside Cambridge We offer employment training and education programs for TAFDC clients including Young Parents Program, DTA Works Internship, Office of Refugee and …Hyannis, MA 02601. Get Directions. Phone (508) 862-6600 DTA Local Office (8:00 am-5:00 pm) Web https://dtaconnect.eohhs.mass.gov. Web Go to site. Hours 8am-5pm. Area (s) Served: Individuals and families. Fees: Please contact provider for fee information. Application Process: You can apply for benefits at your local office, online at …DTA Finder. Services. Healthy Incentives Program (HIP) Healthy Incentives Program (HIP) Eating fruits and vegetables each day is important for your health. The Healthy Incentives Program (HIP) helps SNAP clients buy more fruits and vegetables for their household. Find HIP vendors (877)382-2363 | @DTA Listens | Site Policies | …DTA offers cash, food, and job assistance to individuals and families in Massachusetts. Learn about SNAP, TAFDC, EAEDC, and how to apply online or in person.Hier sollte eine Beschreibung angezeigt werden, diese Seite lässt dies jedoch nicht zu.SNAP helps low-income households expand their food budget by sending out monthly benefits through the Massachusetts Electronic Benefits Transfer card, or EBT card. The Massachusetts DTA delivers food and economic assistance to those in need through the state’s EBT card. These cards work just like a credit or debit card, which can … To download DTA Connect to your Android phone or tablet. Tap the Google Play icon on your device. Tap Search. In the search box, type DTA Connect. From the results list, tap the DTA Connect icon. Tap INSTALL. Massachusetts Department of Transitional Assistance SNAP Change Report Form ... P.O. Box 4406, Taunton, MA 02780‐0420 ...DUA oversees the unemployment insurance (UI) program, which provides temporary income assistance to eligible workers in Massachusetts. DUA also determines and collects employer contributions to the UI program. To report fraud or get help with your claim, call Unemployment Customer Assistance at (877) 626-6800.The TAFDC/EAEDC Application Process: Initiate an Application This should take about 10 minutes. Phone Call We will call you to complete your application. Send in Verifications …

First-time homebuyers in Massachusetts can find mortgage financing and down payment assistance through MassHousing. Plus, learn about nationwide first-time h... Get top content in .... Apna job

massachusetts dta

The housing market in Massachusetts is booming, and the demand for affordable housing is high. With the upcoming housing lottery, you don’t want to miss out on your chance to secur...DTA Connect – Client Portal (Back to Index). Clients who are the Head of Household must set up an account and link it to their case record to utilize all available functions of DTAConnect.com.. Setting up an account is easy.Clients must be the Head of Household, provide an email address, create a password, and …MassHealth is an important healthcare program that provides health coverage to eligible residents in Massachusetts. The process of applying for MassHealth can be tedious and time-c...Certain expenses, such as housing, childcare, or medical (for any household member who is age 60+ or disabled) can be deducted from your countable income for your DTA benefits. Telling DTA about these expenses may increase your monthly benefits. Visit our page on getting the most out of your SNAP to learn more. TAFDC and EAEDC are economic assistance (cash benefit) programs that help individuals and families explore opportunities, improve their finances, and reach their goals. Transitional Aid to Families with Dependent Children (TAFDC) and Emergency Aid to the Elderly, Disabled and Children (EAEDC) are administered through the Department of ... Information about Pandemic EBT, or P-EBT. P-EBT is a federal food assistance program created in Spring 2020. The Department of Transitional Assistance (DTA), in collaboration with the Department of Elementary and Secondary Education (DESE), received approval to temporarily operate this program during the COVID-19 pandemic. SNAP benefits are provided by the federal government and administered by DTA. ... Massachusetts DTA. Massachusetts Department of Transitional Assistance (DTA) Outside Cambridge We offer employment training and education programs for TAFDC clients including Young Parents Program, DTA Works Internship, Office of Refugee and …Viral Respiratory Illness Reporting. The following dashboards provide data on contagious respiratory viruses, including acute respiratory diseases, COVID-19, influenza (flu), and respiratory syncytial virus (RSV) in Massachusetts. The data presented here can help track trends in respiratory disease and vaccination activity across Massachusetts.COVID-19 Chapter 93 Data. Please note: On December 4, 2023, the Massachusetts Legislature repealed Chapter 93 of the Acts of 2020, an emergency law that required reporting of COVID-19 testing, cases and deaths statewide and in state licensed elder facilities, intermediate care for persons with an intellectual disability, and county and state ...The Massachusetts E-ZPass program provides motorists with an electronic method of toll collection through a transponder that attaches to the inside of the vehicle’s windshield. As ...With DTA Connect, you may not have to wait in line at a DTA office or use up your minutes on hold. Here are some easier ways to get the information you need and manage your case without the wait. - View your case status, - Check your EBT card balance, - Find out when your benefits will next be issued, - Upload and submit a document,During the interview, the DTA worker should verbally tell you what proofs are required and ask if you need their help getting them. 106 C.M.R.§§ 361.550 . DTA should then send you a verification checklist (also called a “VC-1”) with at least 10 days for you to get the mandatory proofs back to them.National Grid delivers energy to customers in Rhode Island, Massachusetts, New York and the United Kingdom. Depending on why you need to reach the utility company, use the informat...For statewide resources 24/7, call Mass 2 ADDITIONAL RESOURCES DTAConnect.com Mass.gov/HIP Mass.gov/WIC ADDITIONAL RESOURCES For statewide resources 24/7, call Mass 2-1-1DTA mail/fax cover sheet (Spanish, DOCX 101.88 KB) English. Translate labels. This is part of: DTA Documents & Forms.As a caregiver, you can apply for TAFDC for yourself and the child (ren) or only the child (ren) in your care. If you apply only for the child (ren) DTA will not look at your income when you apply, even though the application is in your name. If the child in your case has income, that may affect eligibility. and: You live in Massachusetts,Brochure. SNAP-PB-E (Rev. 7/2016) 09-169-0716-05. This page is intentionally left blank. You and your family need and deserve healthy, well-balanced meals. If your income will not cover the costs of a wide choice of foods, the Supplemental Nutrition Assistance Program (SNAP) can help you. This brochure is an extension of the Your Right to Know ...You can report the loss using the SNAP 9B form. If you are unable to access or print the form, you may sign and date a written statement that includes the same information. Mail the completed form and cover sheet to: DTA Document Processing Center. P.O. Box 4406, Taunton, MA 02780‐0420. Fax the completed form and cover sheet to: (617) 887‐8765..

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