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Payroll Status Change Date of hire/Change___ First day worked (new employees)___ Name___ Title___ ___ Fulltime (Class 130 or more hours per week)___ Parttime (Class IV 29 hours or less per week) ___
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It is a request or application form used to assess financial need for various forms of assistance or support.
Individuals or households seeking financial assistance or support programs are required to file it.
Fill out the form by providing personal information, financial details, and any required documentation to support your claim.
The purpose is to determine eligibility for financial aid, assistance programs, or other forms of support.
Personal identification information, household income, expenses, and any other relevant financial information must be reported.
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