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COMMONWEALTH OF PENNSYLVANIA
SEXUAL MISCONDUCT/ABUSE DISCLOSURE RELEASE
(Pursuant to Act 168 of 2014)
Instructions
This standardized form has been developed by the Pennsylvania Department of Education,
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Sections 1 and of the form contain personal information of the taxpayer.
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Taxpayers need to provide accurate personal information such as name, address, social security number in sections 1 and.
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The purpose of sections 1 and is to verify the identity of the taxpayer and ensure that the correct taxpayer is filing the form.
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Information such as name, address, social security number, and filing status must be reported in sections 1 and.
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