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

AM I ELIGIBLE: QUESTIONNAIRE


A maximum number of 4 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 current employment status?
Employed (full-time)
Employed (part-time or seasonal)
Under-employed (working for very low wages)
Unemployed or about to become unemployed
No Answer
2.
Are you, your spouse, parents or children currently receiving or are you eligible to receive benefits from any of the following programs? (check all that apply)
Specially adapted housing grant
DOD tricare(formerly CHAMPUS)
Food Stamps
United States government life insurance
Servicemembers' Group Life Insurance
Government Service Life Insurance
Medicaid
Medicare
National Service Life Insurance
A private traditional pension plan that has ended
Social Security
Temporary Assistance for Needy Families
Unemployment Benefits
Veterans' disability compensation
Veterans' Group Life Insurance
Vocational Rehab Training
3.
What is the reason for your current or impending unemployment?(check all that apply)
Current conditions make it unlikely for me to return to my previous occupation or industry
General declining economic conditions
The goods you manufactured are now being imported
Job loss because employer is shifting production to or importing goods you previously manufactured from Canada or Mexico
Result of a Presidentially declared major disaster
4.
Did you become the major supporter or breadwinner of a household because the breadwinner died as the direct result of a Presidentially declared major disaster?
Yes
No
No Answer
Answer more questions Stop and view results
 
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