<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s8feaf346-9ff6-4c75-ba62-05671c9026acP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s8feaf346-9ff6-4c75-ba62-05671c9026acC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8feaf346-9ff6-4c75-ba62-05671c9026acC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s8feaf346-9ff6-4c75-ba62-05671c9026acC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s8feaf346-9ff6-4c75-ba62-05671c9026ac000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8feaf346-9ff6-4c75-ba62-05671c9026acC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s8feaf346-9ff6-4c75-ba62-05671c9026acP0"><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:12:01:03"><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0-000000">67:12:01:03</span></a><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0-000001">.  Signed application.</span><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0"> </span><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0">T</span><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0">he department shall require an application</span><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0"> for assistance</span><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0">, signed under a penalty of perjury. The application </span><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0">must</span><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0"> be signed by the applicant or the applicant's authorized representative or, if the applicant is incompetent or incapacitated, by someone acting for the applicant.</span></p><p dir="ltr" class="s8feaf346-9ff6-4c75-ba62-05671c9026acP0"><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026ac000002"> </span></p><p dir="ltr" class="s8feaf346-9ff6-4c75-ba62-05671c9026acP0"><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0">    </span><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0-000001">Source:</span><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0"> SL 1975, ch 16, § 1; 7 SDR 66, 7 SDR 89, effective July 1, 1981</span><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0">; 51 SDR 52, effective November 11, 2024</span><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0">.</span></p><p dir="ltr" class="s8feaf346-9ff6-4c75-ba62-05671c9026acP0"><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0">    </span><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0-000001">General Authority:</span><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0-000003">28-</span><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0-000003">6</span><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0-000003">-</span><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0-000003">1</span></a><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0">.</span></p><p dir="ltr" class="s8feaf346-9ff6-4c75-ba62-05671c9026acP0"><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0">    </span><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0-000001">Law Implemented:</span><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0-000003">28-6-1</span></a><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-5"><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0-000003">28-6-5</span></a><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0">.</span></p><p dir="ltr" class="s8feaf346-9ff6-4c75-ba62-05671c9026acP0"><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026ac000002"> </span></p><p dir="ltr" class="s8feaf346-9ff6-4c75-ba62-05671c9026acP0"><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0">    </span><span class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0-000001">Cross-Reference:</span><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026acC0"> Application signed under penalty of perjury, 45 C.F.R. § 206.10(a)(1)(ii).</span></p><p dir="ltr" class="s8feaf346-9ff6-4c75-ba62-05671c9026acP0"><span xml:space="preserve" class="s8feaf346-9ff6-4c75-ba62-05671c9026ac000002"> </span></p></div></body></html>