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Trellis Foster Care - Clothing Allowance Submission
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1.
Child Name
(Required.)
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2.
Select Child's Age
(Required.)
0 – 1 yrs: $28.81 (Month)
2 – 5yrs: $40.28 (Month)
6 – 11 yrs: $52.53 (Month)
12 – 15 yrs: $73.30 (Month)
16 – 18 yrs: $75.03 (Month)
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3.
List the purchases made in the following format:
DATE - STORE -PURCHASE AMOUNT
(Required.)
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4.
Upload a copy of the purchase receipts
(Required.)
Choose File
No file chosen
