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Middlesex Massachusetts online Form Instructions 944: What You Should Know

A), s. 724.04 of the general laws, if any of the following applicable: the family members has an income; the family members are receiving food stamps; the family members are receiving special education funds under s. 200.09; the family members are in receipt of assistance pursuant to CHS. 209 and 2032 and are receiving a family member allowance, including veterans' home payment or a family income exemption. All applications shall be in the writing of the district attorney or victim's agent, and shall contain specific information on each case. It shall be noted in the application as to the type(s) of assistance to be provided and the date. In lieu of this request, a separate application shall be attached by the victim's agent. An additional document shall also be provided if the victim's agent, a family member or a family member's representative would like to make an emergency and non-emergency application to the office of the county or borough sheriff or the chief sheriff of the city or town. If the victim, his or her surviving spouse, or a dependent child under the age of 18 whose annual income is not less than 30,000, has an income that is substantially equal to the income range provided in s. 209(a)(4)(C), or that would be substantially close to the income range provided in s. 209(a)(4)(C), then the victim's or a parent's or legal guardian's income, if any, shall be reduced by 15 percent for the duration of the beneficiary's residence in the county or municipality for a period of not less than 4 years and not more than 20 years. The resident of the community shall be provided temporary housing if such housing is available through the Department of Community and Economic Development. The Department of Community and Economic Development may work with the victim's agent to determine a suitable housing opportunity that is suitable for his or her needs.

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