Staff Assigned | Angel Lozano | Lori Red Elk |
Status | 10 Application Complete | 00 Applicant |
Gross Monthly Income | 2300 | 3200 |
Household Gross Monthly Income | 2300 | 3200 |
Average Median Income | AMI 50% - 31%
| AMI 80% - 51%
|
Applicant Signature | https://wha-hss.wpmgjobs.com/index.php?gf-signature=68018585ba5087.20552418&form-id=5&field-id=265&hash=e8f65c5212f84da62bbf1f25c74ae96a47cc7957707daab8acc52221835629fe
| https://wha-hss.wpmgjobs.com/index.php?gf-signature=6806d2b4282ad2.23230693&form-id=5&field-id=265&hash=104879ef002908d0250253be61b3de5158ff38e89f638e6d1166fc9558dc8c0a
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Applicant Signature | https://wha-hss.wpmgjobs.com/index.php?gf-signature=68018585f32dc1.92421079&form-id=5&field-id=272&hash=0ee46e8c19e5333ebcbc159225c192c899e55746dd5c70ea66027c9c98a56e40
| https://wha-hss.wpmgjobs.com/index.php?gf-signature=6806d2b4735029.35541040&form-id=5&field-id=272&hash=10c50f4c91ccf2c7a68060f8e6bb66bdbff44d5f71b6eaa2ed05fad2e5b598e9
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I am partially unemployed I hereby certify under penalty of perjury that the following information is true Field ID: 204.8 | I am partially unemployed | No Value |
Applicant Signature | https://wha-hss.wpmgjobs.com/index.php?gf-signature=680185866f19c3.05425014&form-id=5&field-id=206&hash=ea41c1a7cc63e372c0efc33386cfb8265fb689b21f92af63f60574afe7420dfa
| https://wha-hss.wpmgjobs.com/index.php?gf-signature=6806d2b4be9df3.96533739&form-id=5&field-id=206&hash=f95b3e71669fae2a1695424ceb6c1066a2509a9bbd322f47161f1dd54c85ed64
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Applicant Signature | https://wha-hss.wpmgjobs.com/index.php?gf-signature=68018586a81c15.60804174&form-id=5&field-id=28&hash=6f1ea416e1d06c19f6d9f0d12dc52470a0f560f26edf91a32b368933445f7ab0
| https://wha-hss.wpmgjobs.com/index.php?gf-signature=6806d2b5174e19.07490264&form-id=5&field-id=28&hash=ab9e1ff0074886a479f03c3d3ed649787d53a75402e39cd169223fd15be55963
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I am available for work I hereby certify under penalty of perjury that the following information is true Field ID: 204.12 | No Value | I am available for work |