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2013 GOLDENROD HILLS COMMUNITY ACTION INSURANCE PREMIUM PAYROLL DEDUCTION ELECTION FORM Employee: Department: Employee ID #: Administration Scheduled Layoff Period: Payroll Frequency: Not subject
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Goldenrod Hills Community Action is a non-profit organization dedicated to providing assistance and support to individuals and families in need within the Goldenrod Hills community.
Individuals and families who require assistance or support from the Goldenrod Hills Community Action organization may be required to file for their services.
To fill out Goldenrod Hills Community Action forms, individuals can visit their website or contact their office for assistance.
The purpose of Goldenrod Hills Community Action is to help those in need by providing resources, guidance, and support to improve their quality of life.
Information such as income, family size, specific needs, and any relevant documentation may need to be reported on Goldenrod Hills Community Action forms.
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