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INDIGENCE SCREENING FORM CONFIDENTIAL Per RCW 10.101.020(3) Name Address City State Zip 1. Place an x next to any of the following types of assistance you receive: Welfare Poverty Related Veterans
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The indigency screening formdoc is a document used to assess the financial status of individuals to determine if they are eligible for certain benefits or assistance programs.
Individuals who are seeking benefits or assistance programs that have an income eligibility requirement may be required to file indigency screening formdoc.
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The purpose of the indigency screening formdoc is to assess the financial status of individuals to determine if they meet the income eligibility requirements for certain benefits or assistance programs.
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