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Privacy Notice:
Information provided in this survey is considered a public record and may be subject to public disclosure. For more information, see the Public Records Act, RCW Chapter 42.56. To learn more about how we manage your information, see our Privacy Statement. 
 
Please complete the short questionnaire below. Before completing the form, please check if you live in an eligible property. If you need a replacement card, please call or text (206)256-6722 or email ORCAOpportunity@seattle.gov. 

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* 1. Maqaan kee eenu?

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* 2. What is your t-code? (It's on your rent statement)

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* 3. Teessoon keessan maali?

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* 4. Yeroo ammaa kana sagantaa SHA Transit Pass irratti hirmaataa jirtuu? (jechuunis Yeroo ammaa kaardii ORCA bilisaa SHA irraa argattu?)

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* 5. Qabeenya Abbaa Taayitaa Mana Jireenyaa Siyaatil akkamii keessa jiraattu?

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* 6. Guyyaan dhaloota keetii maali?

Date

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* 7. Sanyii ykn gosti kee maali? Kanneen hojiirra oolan hunda filadhu.

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* 8. Afaan walqunnamtiif filattan maali?

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* 9. Waa'ee sagantaa kanaa akkamitti dhageessanii? Kanneen hojiirra oolan hunda filadhaa

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* 10. Karaan irra dansaan nuti isin qunnamuu dandeenyu maali? Maaloo Hubadhaa: odeeffannoon quunnamtii keessan hayyama keessan malee hin qoodamu. Kanas ulaagaa guutuu mirkaneessuuf, waa’ee fooyya’iinsa ykn jijjiirama sagantichaa si beeksisuuf, ykn qorannoo gara fuula duraatti waa’ee akkaataa sagantichi itti hojjatu erguuf ni fayyadamna.

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