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2017 APPLICATION / RENEWAL FORM Due by: January 31, 2016360 E. 1st Street, #891, Austin, CA 92780 714/8817067 Fax: 714/8861614 adomaoffice cox.net www.ADOMA.org $150.00 DEALERSHIP or ASSOCIATE ALLIED
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Start by gathering all the necessary documents such as your personal identification, proof of income, and any supporting documents required for the renewal form.
02
Carefully read through the instructions provided with the form to understand the requirements and make sure you have all the necessary information.
03
Begin filling out the form by entering your personal details such as name, address, contact information, and social security number.
04
Provide accurate information regarding your income, including details of any changes compared to the previous year's application.
05
If required, provide information about other household members and their income.
06
Fill out any additional sections or questions on the form that are relevant to your situation, such as healthcare coverage or tax credits.
07
Double-check all the information you have entered to ensure accuracy and completeness.
08
Sign and date the completed form.
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Make a copy of the filled-out form and any supporting documents for your records.
10
Submit the completed application renewal form by the specified deadline, either online or by mail, as instructed.

Who needs 2017 application renewal form?

01
Anyone who received benefits or applied for healthcare coverage through a specific program in 2017 is required to fill out the application renewal form for that program. Additionally, individuals who had a change in income or household composition since their previous application may also need to complete the renewal form.
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The application renewal form is a document used to renew an existing application or license.
Anyone who needs to renew their application or license is required to file the application renewal form.
To fill out the application renewal form, you need to provide updated information and follow the instructions provided on the form.
The purpose of the application renewal form is to ensure that all information on file is current and up to date.
The information that must be reported on the application renewal form varies depending on the type of application or license being renewed.
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