W-1E Application for Benefits

apply online at connect.ct.gov, or in person at a DSS office, or using form W-1LTC. Call 855-626-6632 to ask for a W-1LTC form, or get form W-1LTC at a DSS office. · To apply for all other types of medical help, apply online at AccessHealthCT.com or apply by phone at 855-805-4325, or use application form AH3. ................
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