| Assigned Number |
Title |
Version Date | Publication Type | Other Location | Language |
|---|---|---|---|---|---|
| F-40019 | Affirmation of Identity, Residency, Income, or Benefit Loss | November 24, 2020 |
PDF
|
None | English |
| F-40019 | Affirmation of Identity, Residency, Income, or Benefit Loss, Hmong | November 24, 2020 |
PDF
|
None | Hmong |
| F-40019 | Affirmation of Identity, Residency, Income, or Benefit Loss, Spanish | November 24, 2020 |
PDF
|
None | Spanish |
Last Revised: December 10, 2020
