Get the free HRP-1028A - Application for Benefits (TEFAP, CSFP)

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ARIZONA DEPARTMENT OF ECONOMIC SECURITY Division of Community Assistance and Development (DEAD) Coordinated Hunger Relief ProgramHRP1028A FOR PDF (222)APPLICATION FOR BENEFITS TEFAPPage 1 of 3For

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What is hrp-1028a - application for?

hrp-1028a application is for requesting a Health Coverage Tax Credit.

Who is required to file hrp-1028a - application for?

Individuals who are eligible for the Health Coverage Tax Credit.

How to fill out hrp-1028a - application for?

The form can be filled out online or by mail following the instructions provided on the form.

What is the purpose of hrp-1028a - application for?

The purpose is to claim the Health Coverage Tax Credit for eligible individuals.

What information must be reported on hrp-1028a - application for?

Personal information, tax information, health coverage information, and eligibility criteria.

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