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GovBenefits.gov - Your Benefits Connection
GovBenefits.gov - Your Benefits Connection Group of potential benefit recipients
 
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>> Locate State Benefits >> Wyoming

AM I ELIGIBLE: QUESTIONNAIRE


A maximum number of 9 question(s) remaining.
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Answer questions and review all benefits you may be eligible to receive.

Depending on your answers, you may be presented with additional questions. To ensure the most accurate results, you should answer all the questions listed. You may click the 'Stop and View Results' button at any time to review results based on the answers you already submitted. Your answers are used only to determine potential eligibility. GovBenefits.gov does not keep any data you enter.
Stop and view results

1.
What is your age? Example: 35
2.
What is your citizenship status in the US?
US Citizen
US National
Permanent Resident
Legal alien
Other
No Answer
3.
What U.S. State or territory do you live in?
4.
Are you a parent or primary caregiver?
Yes
No
No Answer
5.
Indicate if you or any of your family/household members have a disability.
Child(ren)
Spouse
Parent
Self
None of the above
6.
How would you characterize your income?
Above average income
Moderate income
Low income
Very low income
No Answer
7.
Indicate the ages, in years, of the children for whom you are responsible.(check all that apply)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
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15
16
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8.
Do you or any of your family/household members have any of the following conditions?(check all that apply)
Blindness
Hereditary blood disorder
Drug or alcohol dependency
HIV or AIDS
Limb differences
Limb loss
Mental illness
Paralysis
Permanently (rated 100%) disabled from a service-connected condition
Pregnancy
End-stage Renal Disease (permanent kidney failure requiring dialysis or a transplant)
Spina Bifida(not including spina bifida occulta)
9.
Do you need financial assistance for any of the following?(check all that apply)
Disaster-related expenses
Food costs
Health care/insurance costs
High medical expenses in relation to my income
Home energy costs
Mortgage payments
Own your own business
Rental housing costs
Education Costs
Answer more questions Stop and view results
 
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