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Get KS ES-3100.1 2009

To get you food assistance within 7 days. If you are pregnant, we may be able to get you a medical card within 10 days. Complete this section to help us decide if you can get benefits faster. 1. Is anyone in your household pregnant? No Yes Expedited FS? Yes No If yes, list name and due date: Expedited Medical? 2. Will your household’s gross income for the month be less than $150? No Agency Use Only Yes Yes No 3. Does your household have less than $100 in cash, checking, and savin.

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