Across
- 3. FO
- 6. FA
- 11. Date of Impairment/Disabling Condition
- 12. DDS denial - not disabled
- 14. Title 2 (II)
- 15. LG
- 16. PC
- 17. Title 16 (XVI)
Down
- 1. TPC
- 2. Signed Adult Application Summary
- 4. FO denial - over income/resources or not enough work credits
- 5. BE
- 7. FE
- 8. PI
- 9. BB
- 10. VM
- 13. DS
