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Check what applies to you Homeless Foster Child Group Home Own Home Rent Runaway 3. Do you receive or are you a member of a family which receives public assistance TANF Refugee Cash Assistance If yes check all that apply Food Stamps or been determined eligible to receive within past 6 months General Assistance Supplemental Security Income SSI SSA SSDI 4. How many people are in your household 5. Are you a person with a disability YES NO If so do you have an ACCES-VR case open Worker...

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