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Alaska Department of Health and Social Services Office of Children's ServicesMedical, Dental, and Medication Record Child's NameEmergency Contact Rebirth DateAddressMedical PlanPhoneMedicaid NumberAlternate

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What is fgh form lic?

fgh form lic is a form used for reporting certain information to the licensing authority.

Who is required to file fgh form lic?

Entities holding a specific type of license are required to file fgh form lic.

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fgh form lic can be filled out electronically or manually, following the instructions provided by the licensing authority.

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The purpose of fgh form lic is to ensure compliance with licensing regulations and to provide necessary information to the licensing authority.

What information must be reported on fgh form lic?

fgh form lic typically requires information such as license number, licensee details, and any relevant updates or changes.

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