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Providing employment services

to people with disabilities

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LAGUNA ACOMA CONNECTIONS

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LAGUNA ACOMA CONNECTIONS APPLICATION

Individuals applying for services MUST SUBMIT A CERTIFICATE OF INDIAN BLOOD (CIB).  If an individual receives Supplemental Security Income (SSI), or SSDI, a letter indicating eligibility for monthly support should be submitted at the time of application.

ATTENTION ALL APPLICANTS:

 

Please fill out a new W-9 if your address has changed

or if you are new to the Laguna Acoma Connections application process.

 

 

 

 

Mail a filled-in and signed copy of the W-9 to:

 

PARTNERS FOR SUCCESS

P.O. BOX 207

LAGUNA, NEW MEXICO 87026

 

WE WILL NO LONGER ACCEPT EMAILED OR FAXED COPIES OF THE W-9.

 

Please call the office if you have further questions: (505) 552-9322

DOWNLOAD w-9 FORM

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