To comply with Federal regulation, in order to give you a discount on our services, it is necessary for us to ask some person questions. Your answers will be held on file and in strict confidence. You must verify your income and household size at least once each year. In order to quality for discounts on services, you must show proof of income for all adults over the age of 18, living in the household, who financially contribute to the said household unit.
List name(s) and birthdate(s) of all adults over the age of 18 living in the household who financially contribute to the said household unit and dependent children under 18 years of age living in the same household.
