Total Yearly Household Income:
Lajan Total Pou Tout Kay la pa Ane:
(Please check one)
(Tanpri chwazi yon repons)
No one will be turned away based on income.
Yo pap refize ede ou akòz de montan lajan ou fè.
Very low → trè ba
Low → ba
morerate → moyen
Below $15,350 individual/per family of 2
Mwens ke $15,535 pa tèt /pa fanmi ki gen de moun
Mwens ke $15,535 pa tèt /pa fanmi ki gen de moun
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