Step 3: Human Health & Welfare Services Verification Statement

Select "Yes!" to certify the statement below.

Check box if applicable.

YES!
I certify that the organization named in this application is a human health and welfare organization providing services, benefits, or assistance to, or conducting activities affecting human health and welfare. The services, benefits, assistance, or program activities affecting human health and welfare provided in calendar year {{appLabel.appYear - 1}} are reflected in the Area of Service submitted in the next step of this application, if applicable.

APPLICATION STEPS

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