Orange County NC Website
DocuSign Envelope ID:AA509FB2-A0C3-456C-9F67-9DDC0879C15B t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> Orange County x x x <br /> Raleigh <br /> Wake County <br /> Total 0 0 0 <br /> Income Level —See following chart <br /> (Omit for HS) <br /> < 30%Area Median Income <br /> 31-50% Area Median Income <br /> 51-80% Area Median Income <br /> > 80%Area Median Income <br /> Total 0 0 0 <br /> Special Needs (Omit for HS) <br /> Elderly(Over 62) <br /> Disabled (not elderly) <br /> Homeless <br /> People with HIV/Aids <br /> Total 0 0 0 <br /> Main Application 5/25/2016 8:50:30 AM P 10 of 1 <br />