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Get abc voucher 2009-2024

E Name: Worker s Name: I certify that the above named recipient is billed $ per: Week Month Other: (Explain) for the following children: Do you receive any ABC vouchers for the above named recipient/children? Yes I Do I Do No Do Not receive Family Independence (FI) benefits. Do Not receive Supplemental Nutrition Assistance Assistance Program (SNAP) benefits. Name of Caregiver: (Please print) Address: Telephone No.: Your Signature: Date: DSS Form 1670 (NOV.

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