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Get Portage County Job And Family Services

AND CONTINGENCY PLAN APPLICATION FORM AGENCY DATE STAMP PURPOSE OF THIS APPLICATION: This application is being used to determine your eligibility for PRC funded services. APPLICATION RULES: Any person who is eighteen (18) years or older or emancipated with at least one minor child and/or pregnant and must also be a resident of Portage County. APPLICANT INFORMATION: APPLICANT NAME: SSN: ADDRESS:.

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