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RECERTIFICATION of Public Assistance REQUIRED FORMS S IGN AND D ATE - PowerPoint PPT Presentation

RECERTIFICATION of Public Assistance REQUIRED FORMS S IGN AND D ATE THIS FORM SIGN & DATE: RECERTIFICATION BOOKLET SIGN: ABOUT YOU OTHER ADULT Please ase Sign n Here Please ase Sign n Here Please ase Sign n Here Please ase


  1. RECERTIFICATION of Public Assistance

  2. REQUIRED FORMS

  3. S IGN AND D ATE THIS FORM

  4. SIGN & DATE:

  5. RECERTIFICATION BOOKLET

  6. SIGN:

  7. ABOUT YOU OTHER ADULT

  8. Please ase Sign n Here Please ase Sign n Here

  9. Please ase Sign n Here

  10. Please ase Sign n and Date te Here re

  11. Please make sure you leave the following here today:  Completed application  Client affidavit  Domestic Violence screening form  Alcohol/Substance Abuse Screening Instrument  Restriction form if on voucher payments  Landlord Statement  Any verification documents you have brought with you today

  12. You have 10 days to return documents

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