CITY OF TONAWANDA CIVIL SERVICE COMMISSION

                                                EXAMINATION FEE WAIVER

                                       UNEMPLOYED HEAD OF HOUSEHOLD

I, the undersigned, request a fee of examination waiver for the following examination

______________________________________, No. __________________________

as an UNEMPLOYED HEAD OF HOUSEHOLD.  I understand that if this request is

made fraudulently, my name will be removed from the resulting Eligible List.

                                                            _______________________________________

                                                            Signature

                                                            ___________________

                                                            Date

Return to Civil Service Webpage