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									                                                                Third Party Billing




August 1, 2010

The FAIM program authorizes payment for the Choose from:                               Academic Term for:
     Student Name:
     Student ID#:
in the amount up to $    for Choose one:

Payment will be made upon receipt of an invoice sent after the drop/add time frame to:

West Central Minnesota Communities Action, Inc
Attn: FAIM Program
411 Industrial Park Boulevard
Elbow Lake, MN 56531
Phone: (218)685-4486
Fax: (218)685-6741

This payment does not reduce any financial aid awards or grants as stated in the “Community Opportunities,
Accountability, and Training and Educational Services Act of 1998.” These funds should be credited to the student’s
account prior to any financial aid, including grants or student loans. This is a one time only guarantee.

                                       COMMUNITY OPPORTUNITIES, ACCOUNTABILITY, AND TRAINING AND
                                                  EDUCATIONAL SERVICES ACT OF 1998
Public Law 105-285
105th Congress

TITLE IV-ASSETS FOR INDEPENDENCE
Assets for Independence Act. 42 USC 604 note

Note: On Dec. 21, 2000, the Congress amended the Assets for Independence Act in the Assets for Independence Act Amendments (AFIA
Amendments). Strikeouts denote words deleted by the AFIA Amendments. Underlined words were added to the Assets for Independence Act by the
AFIA Amendments. Changes are in red.

SEC. 401 SHORT TITLE.
This title may be cited as the “Assets for Independence Act.”

SEC. 415. NO REDUCTION IN BENEFITS
Notwithstanding any other provision of Federal law (other than the Internal Revenue Code of 1986) that requires consideration of 1 or more financial
circumstances of an individual, for the purpose of determining eligibility to receive, or the amount of, any assistance or benefit authorized by such law to
be provided to or for the benefit of such individual, funds (including interest accruing) in an individual development account under this Act shall be
disregarded for such purpose with respect to any period during which such individual maintains or makes contributions into such an account.

If the student drops any credits or drops out of school, the money must be returned to West Central Minnesota
Communities Action, Inc. This funding cannot be returned to the student.


_________________________________                                                                       August 1, 2010
     , FAIM Coordinator
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