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Click ‘Get Form’ to open the DHS 7476 in the editor.
Begin by filling in your personal information, including your case number, worker ID, and social security number (SSN) in the designated fields.
Indicate your application type by checking the appropriate boxes for Employment Related Day Care (ERDC) or Supplemental Nutrition Assistance Program (SNAP).
List all household members, including their names, relationships, and any relevant details such as ethnicity and race. Ensure you provide accurate information for each person.
Complete the income section by detailing employment information for each working member of your household. Attach proof of income as required.
Review all sections carefully to ensure completeness before submitting. Remember that incomplete forms may delay benefits.
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Transformative Justice Initiative Resources - My Willamette
Find reentry resources to help those integrate into society. Learn more through Willamette Universitys Transformative Justice Initiative to get started.
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