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Fee Reduction Request Form
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Request for Fee Reduction
Please complete all fields and provide a PDF copy of your tax returns for the last two years.
Client’s Full Name: (First, Last)
Client’s Email:
Phone #:
Employement Status:
– Select –
Employed (full-time, part-time, seasonal, self-employed)
Unemployed or Not Employed
Retired
Other (Explain)
Explain Employemnt Status
Household Size (Name and relationship for each person):
Total Household Income:
Upload Most Recent Copy of Income Tax filing
Choose or Drop File Here
Upload Last Year Copy of Income Tax filing
Choose or Drop File Here
Submit Request