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Income Treatment & Exemptions
Income Treatment & Exemptions Forms and Letters
Last updated on November 17, 2020
Application for Assistance (Part 2), HR0080
Advisement that Guardian Must Sign for Release of Child’s Medical Information, HR3110
Annual Earnings Exemption Threshold Letter, HR3508
Assessment for Earnings Exemption – Questionnaire, HR3107
Family with a Child with Disabilities Exemption – Denial Letter, HR3104
Income in Excess – Earned and Unearned Income, HR3224
Income in Excess – Family with Child with a Disability, HR3225
Income in Excess – PWD Earned and Unearned Income, HR3227
Information Request – General, HR3238
Medical Report – Child, HR3103
Monthly Report, HR0081