Cash Assistance

Assistance UnitHead of HouseholdInitial AmountMonthly Amount
[field-value][A. Name][Amount][Amount]

Cash Assistance

[field-value]

Food Assistance

Assistance UnitHead of HouseholdExpeditedInitial AmountMonthly Amount
[field-value][A. Name][True][Amount][Amount]

Food Assistance

[field-value]

Medical Assistance

Coverage TypeAssistance UnitPrimary Client
[Benefit Sample][field-value][A. Name]

Medical Assistance

[field-value]

Children's Health Insurance Program

Assistance Unit
[field-value]

Children's Health Insurance Program

[field-value]