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Appendix A3: Household Eligibility Screeners Exposure Assessment, biological sampling Household Eligibility ScreenerReading Level: 8.5Hello, I am ___ from [Insert affiliation], calling on behalf of
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Individuals or households who are applying for a specific program or assistance offered by the Texas Department of State Health Services (DSHS) and require a detailed assessment of their household information.

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The wwwdshsstatetxusworkarealinkit24 appendix a3 household is a form used to report household information for state assistance programs.
Households applying for state assistance programs are required to fill out the wwwdshsstatetxusworkarealinkit24 appendix a3 household form.
The wwwdshsstatetxusworkarealinkit24 appendix a3 household form can be filled out online or submitted in person at a designated office.
The purpose of the wwwdshsstatetxusworkarealinkit24 appendix a3 household form is to collect information about household members for eligibility determination in state assistance programs.
Information such as household income, expenses, family members, and household composition must be reported on the wwwdshsstatetxusworkarealinkit24 appendix a3 household form.
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