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Application Emailed To: -- Investigator	Update Email:	Update Name:
TA-1 Online form Link:https://cal.tomswebremote.com/cgi-bin/D3CGIServer/form_ta2/45calu

TA1 Page Preferences

Page 1: Address Confirmation Page 2: Applicant Information Require SSN (Applicant & Members) YES NO Require Middle Initial YES NO Add Alternate Phone Number YES NO Page 3: Household Members Page 4: Income & Employment Add Disabled and Retired to dropdown YES NO     Page 5: Child Support Page 6: Previous Address Page 7: Property Ownership Page 8: Rental Information Page 9: Confirm Household Page 10: Motor Vehicles Page 11: Other Financial Information

Page 12: Employment History Page 13: Citizenship & Military Require Enlistment Date YES NO Require Discharge Date YES NO Page 14: Family Information Require at least one family member   (living or deceased). YES NO If they start a row, they must   enter all of the information. YES NO Page 15: Other Sources of Help Page 16: Current Debts Page 17: Expense Information Require response for all utilities: YES NO Page 18: Reason for Application Page 19: Other Public Assistance Page 20: Notice of Public Law Require Signatures YES NO Page 21: Affidavit Require Signatures YES NO Page 22: Consent Require Signatures YES NO