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Sliding Scale Application Form - Upper Bay Counseling and Support - upperbay

Sliding Scale Application Form - Upper Bay Counseling and Support - upperbay 2025

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4 out of 5

27 votes

The document is a discounted/sliding fee application form from Upper Bay Counseling & Support Services, Inc. It collects personal and financial information from clients to determine eligibility for reduced fees based on household income and family size. The form requires details about the client, dependents, annual income sources, assets, liabilities, and extraordinary expenses. Clients must certify the accuracy of their information and may need to provide additional documentation for verification.

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Versions	Form popularity	Fillable & printable
2015	4 Satisfied (27 Votes)

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