HCV Extravaganza Briefing - HomeFront

HCV Extravaganza BriefingKyleT2023-02-13T23:10:17+00:00

Eligibility Briefing Video

All adult household members (18 & older) must certify viewing of the briefing video.

Eligibility Briefing Video Certification

Head of Household Name*
First Last
Other Adult Household Member Name
First Last
Other Adult Household Member Name
First Last
Other Adult Household Member Name
First Last
Date*
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Certification*
By clicking this box, you certify to viewing the video in completion. and thus are responsible for the presented information.
Name
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Email*
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