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ATTACHMENT TITLE

B – 3 Form DHS 1260, Self-Declaration Screening Form to Claim Domestic Violence Victim Status B – 4 Form DHS 1247, Notice of Requirement to Cooperate with Child Support Enforcement Agency and Right to Claim Good Cause C – 1 Child Care Rate Table C – 2 Form DHS 736, FTW Program Education, Vocational Training and Work-Related Expenses C – 3 Child Care Gross Income Eligibility Limits and Sliding Fee Scale C – 4 Form DHS 737, FTW Program One-Time Training and Work-Related Expenses for Participants Exiting TANF Due to Employment D – 1 Acronyms