Duke charity care application 2025

1. Click ‘Get Form’ to open the duke charity care application in the editor.
2. Begin by filling out the Family Information section. Enter your first name, middle initial, and last name clearly. Provide your street address, city, state, and zip code. Include your social security number and contact numbers for both day and evening.
3. Indicate your employment status by selecting 'Employed' if applicable. Fill in the employer's name and address, along with how long you have been employed and the number of dependents.
4. Proceed to the Financial Data section. List all sources of monthly income including gross salaries, business income, rental income, etc. Ensure accuracy as this information is crucial for your application.
5. In the Assets section, provide details about your financial assets such as cash on hand, checking and savings account balances, property values, and vehicle estimates.
6. Finally, review all entries for accuracy before signing at the bottom of the form to acknowledge that the information provided is true.

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