If you want to receive textbook assistance, and then read, sign, and date the If you want to your child’s free/reduced eligibility in order to qualify for free or ‘Yes’ section to the right. If you do not want to receive textbook assistance, check health insurance under Medicaid or Hoosier Healthwise, sign and date this section. ‘No’.
If you want to receive textbook assistance, ‘Yes’ and then read, sign, and date the section to the right. If you do not want to receive textbook assistance, check ‘No’. If you want to your child’s free/reduced eligibility in order to qualify for free or health insurance under Medicaid or Hoosier Healthwise, sign and date this section.
2017-18-parent-letter-and-instructions.docx