Thank You for submitting your Formal Application!


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There is a fee due for your application to be formally considered. Once the fee is paid, your situation will be reviewed and considered for at least 12 more months. If the fee is not paid, we will not review your formal application.

You can pay $12 and submit the fee right now with your internet application or you can mail the formal application to us for $10.

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*You may also choose to only Register for FREE with the public. The choice is yours.

NOTE: Financial recipients will be notified via email by the end of the month. Please check your inbox folder or junk folder for a message from Elderly or Disabled Living.

MAIL APPLICATION FORM

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If, for any reason, you don't like this amazing program you can get a full refund anytime within 30 days after your purchase. If you have any issues, just get in touch with our friendly support team via email and they'll either help you out until you get the results you need or give you a swift refund.

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