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Get University Of Colorado Hospital Charity Application Form

S on the worksheet to be approved for additional charity on your current accounts. Depending on your situation, please also include a copy of the following items that apply to determine if you qualify and submit to the address below: Current tax return for 2012 Current W2 form Social Security letter Unemployment Benefit letter Last three pay check stubs Notarized letter stating you and or your spouse is unemployed Applications returned without at least one of these items.

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