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Get DHS - 4258F - ENG - AIFACS - Aifacs

Case of emergency or in the event that the family needs to leave their home due to a natural disaster or catastrophic event. This form is completed by the family during the initial process and renewed as part of an update. If I need to evacuate my home, I would re-locate to: First choice: name home phone number ( ) address cell phone number ( ) CITY STATE ZIP CODE E-MAIL ADDRESS Second choice: name home phone number ( ) address cell phone number ( ) CITY STATE ZIP CODE E-MAIL ADD.

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