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Forms to assist with the HEOP eligibility process

Steps to be Completed (your guide to eligibility)

Pre-Eligibility Worksheet (Must be returned to HEOP)

Statement of Understanding (Must be signed and returned to HEOP)

Child Support Statement (Must be returned to HEOP)

Dependency Statement (If applicable)

Public Assistance Statement (If applicable)


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If you have any questions about HEOP please contact the HEOP/Excel Department at:
(585) 389-2513 or 1-800-462-3944 - Fax (585) 389-2514
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