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NEW YORK STATE AGENCY NAME: AGENCY CODE: SCHEDULE CFR-i AGENCY IDENTIFICATION AND CERTIFICATION STATEMENT Page TYPE OF OWNERSHIP: NOT-FOR-PROFIT: AGENCY ADDRESS: COUNTY NAME: PROPRIETARY: COUNTY CODE:
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How to Fill Out Person to Contact With:

Start by providing the person's full name:

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Include their first name, middle initial (if available), and last name.
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Enter the person's contact information:

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Individuals filling out official forms or applications:

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Employees in an organization:

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Person to contact with is an individual designated to act as a contact for specific matters.
Certain entities or individuals may be required by law or regulations to provide information about a person to contact with.
The person to contact with can be filled out by providing their name, contact information, and any other relevant details.
The person to contact with serves as a point of contact for inquiries or communication regarding the specific matters.
Information such as name, contact details, relationship to the organization, and any other relevant information may need to be reported on the person to contact with.
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