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To file a complaint of discrimination write USDA Director and Office of Civil Rights 1400 Independence Avenue SW Washington D.C. 20250-9410 or call 800 795-3272 or 202 720-6382 TTY. Supplying false information to obtain a fee waiver is a Class 4 Felony 720 ILCS 5/17-6. I attest that the information provided on this application is true and correct. I would like to apply for a fee waiver Number of household members We currently receive SNAP/TANF Gross Monthly Income Source s of Income All...

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