This form was revised on February 24, 2009. The revised version is attached.
Links
[1] https://www.masslegalservices.org/library-types/govt-agency-court-links-materials
[2] https://www.masslegalservices.org/library/directory/benefits/disability-criteria-eaedc-and-tafdc/adult-criteria-exemptions
[3] https://www.masslegalservices.org/library/directory/benefits/dta-policies-materials/dta-disability-procedures