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Get NV 2584-EG 2013-2024

S AFTER THE CHANGE HAPPENS IF YOU ARE RECEIVING SNAP BENEFITS AND BY THE 5TH OF THE FOLLOWING MONTH FOR TANF AND/OR MEDICAL ASSISTANCE. Fill in the spaces below. (You can write an explanation on a separate sheet of paper.) You can mail or bring this report into the office. PLEASE PROVIDE PROOF OF THE CHANGES. NAME SOCIAL SECURITY NO. ADDRESS APT # TELEPHONE E-MAIL CITY/ZIP CODE Is this a new address? YES NO MAILING ADDRESS (If different) PEOPLE CHANGES: Did someone move in or out or h.

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