Income Check one:Annually-yearly Bi-weekly-every two weeks Weekly* I Name* attest that my income is $* I understand that each time I visit Community Action of Greene County, Inc., I will be asked if my income status has changed.I understand that I may be asked to provide income documentation (to include pay stubs, benefit letters, social security, child support, etc.) at a future date.Client Signed: Signature* Date: Date* CAGC Staff Witness: Signature Date: Date Contact Information:Name: First Name* Last Name* Phone: Area Code* Phone Number* Email: Email Household size: Please Select123456789+* Number of Adults: Please Select123456789+ Number of Children: Please Select123456789+*