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Ryan White HIV AIDS Program 6 MONTH SELF-ATTESTATION STATEMENT

Ryan White HIV AIDS Program 6 MONTH SELF-ATTESTATION STATEMENT 2025

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The document is a 6-month self-attestation statement for participants in the Ryan White HIV/AIDS Program. It requires individuals to confirm whether there have been any changes in their medical insurance, income, household size, or address over the past six months. If changes have occurred, participants must provide updated information and documentation. The form emphasizes the importance of notifying the program about any changes that may affect eligibility for benefits.

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