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Get Special Circumstances Wingate Form

Xpected to be received in 2014. (SSI) Completed Estimated Income Table for 2014 (at bottom of form). 6. Loss of benefits and/or untaxed income Documents Required: Documentation certifying loss of a benefit or untaxed income. Social Security: Provide Social Security Administration Notification of Termination of Benefits. Child Support: Provide court document stating termination of benefits. Worker s Compensation: Provide a letter from Bureau of Worker s Compensation.

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