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The Child and Adult Care Food Program Enrollment Form / Income Eligibility Statement for Children CENTER NAME: FISCAL YEAR: PART 1 E NRO L LM EN T I N FO RM AT I O N You must complete ALL five columns
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Enrollment form income eligibility is a form used to determine if an individual or household meets the income requirements to qualify for certain programs or benefits.
Individuals or households who are applying for or receiving benefits that have income restrictions are required to file the enrollment form income eligibility.
To fill out the enrollment form income eligibility, individuals or households must provide accurate information about their income and household size.
The purpose of enrollment form income eligibility is to ensure that individuals or households meet the income requirements to qualify for certain programs or benefits.
Information such as income sources, amount of income, and number of household members must be reported on the enrollment form income eligibility.
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