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If you need help completing this application call 18887553373Section 125 Premium Only Plan Fax Order Form Please print clearly Purchaser Information (Person buying document for Employer listed below,
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IF YOU NEED HELP stands for Immediate Food and Emergency Needs Program.
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Individuals or families who are in need of immediate food or emergency assistance are required to file for IF YOU NEED HELP.
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You can fill out the IF YOU NEED HELP form online or at your local community center.
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The purpose of IF YOU NEED HELP is to provide immediate food and emergency assistance to those in need.
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You must report your personal information, details of your emergency situation, and any supporting documentation.
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