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ALABAMA WIC PROGRAM REPLACEMENT STAMP REQUEST FORM I am in need of a replacement stamp for the vendor listed below. Reason for stamp replacement Date of Request Worn Out Broken Other please specify If stamp has been lost/stolen notify the State WIC Office immediately. Vendor Number Mailing Address where stamp should be mailed City State ZIP Vendor Representative Representative s Signature Mail or fax completed form to Patty Geiger ADPH WIC Divis...
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What is replacement stamp request form?
Replacement stamp request form is a document used to request for a replacement stamp when the original stamp has been lost, stolen, or damaged.
Who is required to file replacement stamp request form?
Any individual or organization who has lost, stolen, or damaged their original stamp is required to file a replacement stamp request form.
How to fill out replacement stamp request form?
To fill out the replacement stamp request form, you need to provide your personal or organization information, the reason for requesting a replacement stamp, and any relevant supporting documents.
What is the purpose of replacement stamp request form?
The purpose of the replacement stamp request form is to formally request a replacement stamp when the original stamp is no longer available or usable.
What information must be reported on replacement stamp request form?
The replacement stamp request form requires information such as your name or organization name, contact details, the reason for requesting a replacement stamp, and any supporting documents.
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