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Norwalk California Online Form 80: What You Should Know

HOLD-AND-FORGET INCLUSIVE LANGUAGE FORM for persons over the age of 62 with mental disabilities, as prescribed by the Supreme Court of the State of California. This form is to be completed in English by applicants who are. Age: 63 Years Gender: Female Sex: Male Sex M: Male Sex F: Female Family: -A person who has been separated from the household of a parent for 60 consecutive months and resides with a parent/legal guardian or who is currently residing with a parent/legal guardian, unless the parent/legal guardian has been found incapacitated and has had a legal guardian appointed for the child. —A person who has been separated from the household of a parent for 24 consecutive months, regardless of the age of the child. —A person who has been separated from the household of a parent for 6 months, regardless of the age of the child. Please note that parents must have the legal right to custody in order to sign this form. If you would like to receive automatic updates to this Q1 2023 information, subscribe to the RSS feed. You can unsubscribe at any time by using the link in the upper right column. Application/File Upload Form/Download a copy of the form. Applicant's Name Place of birth: United States AFFIDAVIT OF RESIDENCE (OR CHILD'S) PRIVACY RESTRICTION (OR CHILD'S) STATUS/DESTINATION ADDRESS (OR CHILD'S) STATE/ALABAMA (AND IF SO, STATE/ALABAMA) ELECTRONIC CREDIT CARD RECEIPT OF CREDIT LAVING A LEGAL GUARDIAN? ELECTRONIC CREDIT CARD RECEIPT OF CREDIT IF ALLOWED BY APPLICABLE LAW, YOU ARE ELIGIBLE TO VOLUNTEER FOR THE LIVING IN NORWALK CASH PROGRAM. I, the undersigned, being duly sworn under the penalties of perjury, hereby state that the foregoing information is true, correct and complete. I understand that my participation will be kept totally confidential and that nothing I have said I know to be false, misleading, or inaccurate in any way.

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