sliding scale application form
Below, you will find different set of sliding scale applications. Although the actual form is the same, requirement and attachments for each category is different. Please choose the one that best describe your situation. Please be advised that incomplete application or failure to submit the required documents will result in the denial of your application. ALL REQUIREMENTS MUST BE RECEIVED WITHIN 30 DAYS OF APPLICATION.
EMPLOYED
Currently employed sliding scale applicants must submit the following forms to be considered for Sliding Fee Scale Discount.
Currently employed sliding scale applicants must submit the following forms to be considered for Sliding Fee Scale Discount.
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SELF EMPLOYED
Self employed sliding scale applicants must complete the Sliding Fee Scale Discount application and attache proof of income such as Income Tax Return.
Self employed sliding scale applicants must complete the Sliding Fee Scale Discount application and attache proof of income such as Income Tax Return.
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- Proof Of Income - such as Income Tax Return or any other type of document that shows your earning must be attached in the application.
UNEMPLOYED
Unemployed sliding scale applicants must submit the following documents:
Unemployed sliding scale applicants must submit the following documents:
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