Program File Request

Program File Request Form

An AH Program Current/Former Participant may request a copy of his/her program file. The person must be the current head of household or, if a former participant, the person must have been the latest head of household at the time of termination from the program.

Requester Address
What type of Requester are you? (Please select one)(Required)
This field is for validation purposes and should be left unchanged.