APPLICATION GUIDE - archivemhc.com
13, 2020, or experienced a reduction in household income, incurred significant costs, and/or experienced other financial hardship due, directly or indirectly, to COVID-19? – only one situation must apply; checkmark if yes, leave blank if no; if none apply, applicant is ineligible.
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HTC ELIGIBILITY/CERTIFICATION FORMS SUMMARY
archivemhc.comRestrictive Elective 1 Affidavit of Marital Status Affidavit X 2 Certification of Daily Needs X 3 Certification of Tip Income X 4 Certification of Zero Income X
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