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CHILD AND ADULT CARE FOOD PROGRAM (CACFP) PROVIDER LETTERFor Establishing Provider\'s Tier 1 Status FFY 2025 Rev. 06/24This Provider Letter and the attached Household SizeIncome Statement form (HSIS)

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What is rev 0624 household size-income?

Rev 0624 household size-income is a form used to report the household size and income information for eligibility determination for certain government assistance programs.

Who is required to file rev 0624 household size-income?

Individuals or households applying for government assistance programs that require income verification and household size reporting are required to file rev 0624.

How to fill out rev 0624 household size-income?

To fill out rev 0624, you must provide accurate information about your household members, their income sources, and the total household income as instructed on the form.

What is the purpose of rev 0624 household size-income?

The purpose of rev 0624 household size-income is to assess eligibility for assistance programs by evaluating the size of the household in relation to their income.

What information must be reported on rev 0624 household size-income?

The information that must be reported includes the names and ages of household members, their relationship to the applicant, and the total household income.

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