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HARDSHIP REASONS <br /> MEDICAL FAMILY CRISIS <br /> ❑ Positive Covid Test Result ❑ Death <br /> ❑ Homecare for Covid Patient ❑ Divorce <br /> ❑ Proof of Hospitalization ❑ Change in Household Income <br /> ❑ Surgery ❑ Children Home for Remote Learning <br /> ❑ Recovery SENIOR HEALTH SERVICES <br /> ❑ Medical Emergency ❑ Homecare Services <br /> ❑ Medical Disability ❑ Grandparents Raising Grandchildren <br /> NATURAL DISASTER MILITARY HARDSHIP <br /> ❑ Property Damage Loss ❑ Deployment <br /> ❑ Fire ❑ Military Disability <br /> ❑ Tornado/Wind <br /> ❑ Water Damage <br /> OTHER CRISES <br /> ❑ Loss of Employment <br /> ❑ Delay of Public Benefits <br /> ❑ Action by Landlord <br /> ❑ Displacement by govt. or private action <br /> ❑ Victim of a Crime <br /> ❑ Other <br /> ❑ Loss of Public Benefits <br /> ❑ Other <br />