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Application for Family Planning Only services for non-citizens (state-funded) State-funded application for Family Planning Only (FPO) services for non-citizens. 13-0058 Publication Download Application for Family Planning Only services for non-citizens (state-funded) Download an alternate version of this form or publication Alternate language versions: Amharic Arabic Burmese Cambodian Chinese (Simplified) Farsi Korean Laotian Punjabi Russian Somali Spanish Tigrigna Ukrainian Vietnamese