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Get ATR IV Service Request Form

D cannot exceed dollar limit under service category. *** Verification of employment includes: paystubs (showing withholdings for Fed, State & SSI), 1099 form; business tax returns; personal tax returns Clients who cannot verify that they have reported their income to the IRS are not eligible for employment/vocational services. 2 Revised 6/19/17 (ATR IV Service Request Form continued) Name of Class, Item, or Service: If merchandise, list up to five items. List size, color, and alternative siz.

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