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Health and beauty
Form FDJJ 1002.03 - Aug 2016

Health and beauty

Form FDJJ 1002.03 - Aug 2016

Non Eligibility Letter (Hours Health)

The form is used to request a letter stating that an individual is not eligible for health benefits based on the hours they have worked.

Originally published by: state.fl.us

Used 10 times

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Frequently asked questions

The form is used to request a letter stating that an individual is not eligible for health benefits based on the hours they have worked. It should be filled out by individuals who need documentation of their non-eligibility for health benefits. Once completed, the document should be submitted to the Florida Department of Juvenile Justice.
Individuals seeking a non-eligibility letter for health benefits.
The completed Form FDJJ 1002.03 should be submitted to the Florida Department of Juvenile Justice.

Used 10 times