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D REQUEST TO USE THE DISTRICT OFFICE ADDRESS AS MY MAILING ADDRESS OR REQUEST THAT MY MAIL BE SENT TO: (District Office or Other Mailing Address) I understand that this agreement applies as long as I am homeless and receiving CalWORKs/Refugee Cash Assistance (RCA), General Relief (GR) and/or CalFresh, Cash Assistance Program for Immigrants (CAPI) or Medi-Cal benefits. If I use the district office as my mailing address, I.
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