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Get Lwa Self Certification Tennessee

Applicant s signature Date If you are at or below 135 of the poverty level but not currently receiving benefits from one of the listed programs you may be able to qualify by contacting the Tennessee Regulatory Authority on 1-800-342-8359. Please mail or fax this self-certification form to BellSouth RSC 4th Floor 304 Pine Avenue Albany GA 31702 Fax 1-888-726-3223 2005 BellSouth Corporation. All trademarks and service marks contained herein are own.

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