2001/2002 CONFIDENTIAL INCOME STATEMENT – CENTERS

Child’s Name (Legal Last name, First name) 1. _____ 2. ... American Indian & Alaskan Native . Native Hawaiian or Other Pacific Islander ... who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied ... ................
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