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Get KS ES-3114 2004

_________________ We need the following information to determine if you are still eligible for FOOD STAMPS. Please complete this form and return it to us by ___________________________________. If you do not complete and return this form your FOOD STAMP case will close _________________________________. YOU NEED TO ATTACH PROOF OF THE MOST RECENT 30 DAYS OF EARNED INCOME THAT HAS BEEN RECEIVED BY ALL HOUSEHOLD MEMBERS. Use extra paper if needed to answer all the questions. This action is based .

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