The
form you can get from this webpage ONLY APPLIES
TO YOU IF you received income from sources such
as SSI, TANF/AFDC or SSP for
the previous calendar year. If
you do NOT receive income from
these sources, click "YES" (below)
1. Have
you filled out our AGENCY CERTIFICATION
- UNTAXED INCOME form and taken it to
your agency for certification?
If
your answer is "NO",
FILL-IN and print out the document that opens, take
the completed form to your agency for certification,
and then return to this page and click "YES".
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