The following figures are used for:
· Form DA-3M
· Side 1 of Form DA-4M
· School Age Medical (SAM).
|
Family Size |
Monthly Income |
|
1 |
$931 |
|
2 |
1,261 |
|
3 |
1,591 |
|
4 |
1,921 |
|
5 |
2,251 |
|
6 |
2,581 |
|
7 |
2,911 |
|
8 |
3,241 |
|
9 |
3,571 |
|
10 |
3,901 |
|
11 |
4,231 |
|
12 |
4,561 |
{Rev. 1/1/12}