(a) An application for assistance under this subtitle shall be made:
(1) to the local department of the county where the applicant resides; and
(2) in the form and manner that the Administration requires.
(b) An application for assistance under this subtitle shall include a medical form that:
(1) contains the name and estimated duration of the applicant’s impairment; and
(2) is signed by a licensed health care provider.
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