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Get Dpss Employment Verification Form

0 / FAX: (775) 684-0740 ENERGY ASSISTANCE PROGRAM 3330 E. Flamingo Rd., #55 Las Vegas, NV 89121-4397 Telephone: (702) 486-1404 / FAX: (702) 486-1441 RENTAL VERIFICATION Applies to Rental Applicant Households ONLY AUTHORIZATION: I authorize you to release the requested information to the Division of Welfare and Supportive Services. Applicant s Signature Date Applicant: If you rent, the fol.

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