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Get Form 5208a

T of financial assistance from the Department of Social Services. All claims are subject to later verification. A false claim will result in barring or rescinding an appointment. Proof of eligibility must accompany this waiver. -----------------------------------------------------------------------I am requesting a waiver of the exam fee based on the following: (Check all areas that apply) 1. I am unemployed and responsible for the support of my household. a. I am receiving unemployment.

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Keywords relevant to Form 5208a

  • waiver
  • requirement
  • criteria
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