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General Assistance Worksheet & Case Plan Signature

  1. General Assistance Worksheet & Case Plan Agreement

    This form serves as your agreement to comply with the terms of the GA Worksheet & Case Plan you received from your General Assistance Caseworker.

  2. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your document will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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  4. This field is not part of the form submission.