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Step 1 Eligibility Before you begin, determine your eligibility: Eligibility for the program is based on your household size and total family income. Please determine if you are eligible. Please circle

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What is page 1 of 3?

Page 1 of 3 is the first page of a three-page document or form.

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Individuals or entities specified in the instructions for the form are required to file page 1 of 3.

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