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This letter and the attached Household SizeIncome Statement form (HIS) must be given to all home providers who do not qualify as Tier I by area eligibility. Dear Provider: To establish eligibility
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What is This letter and the attached Household Size-Income Statement (HSIS) must be given to all home providers who do not qualify as Tier I by area eligibility Form?

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Instructions for the form This letter and the attached Household Size-Income Statement (HSIS) must be given to all home providers who do not qualify as Tier I by area eligibility

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