Add Household Member
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* required field
Income Details
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Add employment details of the household member, if applicable
Select Income Type
[code-table-value]
Earned Income Details
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Employment
[list-item]
Type
[code-table-value]
Amount
Frequency
[Daily]
Income Start Date
Income End Date
Seasonal Income
Unearned Income Details
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Type
[code-table-value]
Amount
Frequency
[Daily]
Income Start Date
Income End Date
Last Payment Date
Add New Income
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New Income Details
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Type
Amount
Period
Action
[Description]
[Amount]
[Description]
Remove
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