Before filling out the following application, check below to ensure you meet the eligibility requirements. Household size is the number of ALL people (adults and children) living at the service address. The income limits are to include the combined income from ALL sources of ALL ADULT members (age 18 or older) of the household, as indicated on the Adjusted Gross Income line of your tax return.
If the answer is yes, skip to # 6. If the answer is no, please fill out sections 5a, 5b and 5c.
Please provide the number of people (all ages) living in your household.
Please provide the names of all family members living in your household.
These are the income limits for 2020. The annual income of all adults in your home must be at or below the limit for the number of people living in your home.
**PLEASE BE SURE TO WHITE OUT ANY SOCIAL SECURITY NUMBERS BEFORE SCANNING AND UPLOADING.
If you cannot upload your tax return or proof of unemployment with this form, you must scan or take a photo and email it to Tami Wood. Email: TWood@snoqualmiewa.gov. If you do not have email, please call Tami at 425.766.3700. PLEASE BE SURE TO WHITE OUT ANY SOCIAL SECURITY NUMBERS BEFORE SENDING.
PLEASE BE SURE TO WHITE OUT ANY SOCIAL SECURITY NUMBERS BEFORE SENDING.
Please provide an email address for questions about your application
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