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Easter Seals Eastern Pennsylvania Berks Program Application 2014 New Consumer Information Returning Consumer s Name: Sex: Height: Weight: Date of Birth: Age: Disability (required): Mailing Address:
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How to fill out Easter Seals Eastern Pennsylvania:

01
Visit the Easter Seals Eastern Pennsylvania website.
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Look for the "Application" or "Get Assistance" section on their website.
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Fill out the required personal and contact information in the application form.
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Provide any additional information or documentation that may be requested, such as medical records or proof of disability.
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Submit the completed application either online or through mail, following the instructions provided.
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Wait for a response from Easter Seals Eastern Pennsylvania regarding the status of your application.

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Individuals with disabilities who require assistance with daily living activities, therapies, or other support services.
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Anyone within the Eastern Pennsylvania area who could benefit from the programs and services offered by Easter Seals Eastern Pennsylvania.
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Easter Seals Eastern Pennsylvania is a nonprofit organization that provides services to individuals with disabilities and special needs.
Easter Seals Eastern Pennsylvania must be filed by individuals or organizations who receive services or financial support from the organization.
To fill out Easter Seals Eastern Pennsylvania, individuals or organizations must provide information about the services received or financial support received from the organization.
The purpose of Easter Seals Eastern Pennsylvania is to track the services provided and financial support given to individuals with disabilities or special needs.
Information such as the type of services received, amount of financial support provided, and any other relevant details must be reported on Easter Seals Eastern Pennsylvania.
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