Legal documents for people with Alzheimer's and other dementias – learn about guardianship, power of attorney, living wills, living trusts and more. Find information on care and local services for people with Alzheimer's or a related dementia and their families.Under the Medicaid spousal impoverishment provisions, a certain amount of the couple's combined resources is protected for the spouse living in the community. If you need assistance with completing the application or would like to check the status of your 1010CG application please call 1-855-260-3274. After claiming your loved one as a dependent, you will need to fill out tax form 2441. You can sign and submit a written statement appointing the person, or use our standard form SSA-1696, Appointment of Representative. Complete this form to provide the Domestic Relations Section with information for yourself, your children, and the other party to the support action. Subscribed and sworn before me on. ______. Circumstances in the form set forth herein. It's a quintessential spring morning at the University of Georgia's State Botanical Garden.