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DEPARTMENT OF SOCIAL SERVICES (Model Form)Page 1 of 2SWORN STATEMENT OR AFFIRMATION FOR CHILD DAY PROGRAMS Please Print Name Current Mailing Address Name of Licensed/Registered Approved Facility/ProviderFirstMiddleMaidenStreet,

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How to fill out the name of licensed/registered?

01

Start by writing your full legal name as it appears on your identification documents. This should include your first name, middle name (if applicable), and last name. Make sure to use the correct spelling and capitalization.

02

If you have a professional or business name that is different from your legal name, you may also include it. This is common for individuals who operate under a trade name or alias. However, it is important to note that using a professional name may require additional documentation and legal processes.

03

If you are applying for a license or registration for a specific profession or occupation, ensure that you include any required suffixes or titles. For example, if you are a licensed nurse, you might need to include "RN" (Registered Nurse) after your name.

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Avoid using any nicknames or abbreviations unless specifically instructed to do so. It is best to provide your name exactly as it is recognized legally or professionally.

Who needs the name of licensed/registered?

01

Individuals applying for professional licenses: Professionals in various fields such as medicine, law, engineering, teaching, or real estate may be required to provide their licensed name when applying for certification or licensure. This ensures that their credentials and qualifications are accurately recognized.

02

Business owners registering a business name: Entrepreneurs who establish a business entity, such as a sole proprietorship, partnership, or limited liability company (LLC), may need to provide their registered business name. This helps differentiate their enterprise from other businesses and allows them to operate legally.

03

Participants in official competitions or events: In certain competitions or events, participants may be required to provide their registered name to ensure fairness, eligibility, and accountability. This could apply to sports competitions, academic contests, or artistic showcases.

Remember, the specific requirements for providing a licensed/registered name may vary depending on the context and jurisdiction. It is always advisable to refer to the relevant rules, regulations, or instructions provided by the respective authority or organization.

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What is name of licensedregistered?

Name of licensed/registered refers to the official name of the organization or individual who is licensed or registered to conduct business or provide services.

Who is required to file name of licensedregistered?

Any organization or individual who is licensed or registered to conduct business or provide services must file their official name.

How to fill out name of licensedregistered?

The name of licensed/registered can typically be filled out on official forms or documents provided by the issuing authority.

What is the purpose of name of licensedregistered?

The purpose of providing the name of licensed/registered is to ensure transparency and accountability in the business or service provider's operations.

What information must be reported on name of licensedregistered?

The name of licensed/registered must accurately reflect the legal name under which the organization or individual is authorized to operate.

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