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Get 470 2881 2016-2024

Ecked boxes below. FIP/Refugee Cash Assistance: It s time to review your case. Please fill out this form and send or bring it to the address above by . This information will be used to decide if you will continue to get Family Investment Program (FIP) or Refugee Cash Assistance benefits. Food Assistance: Your Food Assistance will end . Return this signed form by to get Food Assistance at the regular time next month, if you are eligible. If this box is checked, you must have an interview for Fo.

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