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Participant Documents

Below is the SCSEP Application and required supporting documents. You can download and complete the application, or email to scsep@stateoffranklin.org.


Please bring the following documents in for your enrollment orientation meeting. Failure to provide adequate documentation will delay your enrollment:


The Department of Labor requires that all Senior Community Service Employment Program (SCSEP) participants be certified before enrollment to determine income eligibility for SCSEP with the State of Franklin Health Council:


The purpose of the SCSEP Family Size Statement Form is to assist the SCSEP applicant/participant with officially documenting family size when no other documentation is available:

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