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DWC 251R Revised February 2000 REVOCATION OF ELECTION OF COVERAGE By filing this revocation, you elect to be exempt from the provisions of Chapter 440,

How to fill out state use only

Point by point guide on how to fill out state use only:

1. Look for the designated box or section on the form that is labeled "State Use Only." It is usually located towards the bottom of the form or on a separate page.
2. Read the instructions provided in the form or accompanying guidelines to understand the purpose of the "State Use Only" section. This section is typically used by state officials or authorized personnel for internal purposes and should not be filled out by the applicant or general public.
3. Ensure that you have all the necessary information and documentation required to complete the rest of the form accurately. Double-check that you have provided all the requested information in the appropriate fields before reaching the "State Use Only" section.
4. Once you have completed all the necessary sections of the form, reach the "State Use Only" section. Take a moment to review the instructions, if any, specific to this section to avoid any errors or mistakes.
5. Leave the "State Use Only" section entirely blank. Do not write anything, cross out the section, or add any notes or markings. This section is reserved solely for authorized personnel to record relevant information, process the application, or make internal notes.

Who needs state use only?

1. State officials or authorized personnel: The "State Use Only" section is typically meant for individuals working within the government or specific agencies responsible for processing applications or maintaining internal records. They may need this section to document information that is not meant for public disclosure, such as case numbers, internal codes, or other administrative notes.
2. Employers or organizations requesting state assistance: In some cases, employers or organizations submitting forms requesting state assistance might encounter the "State Use Only" section. These sections are meant for state officials to review the application, make determinations, or keep track of the status of the request without publicly disclosing certain information.
3. Applicants should not fill out the "State Use Only" section: It is crucial for applicants to understand that they should not complete the "State Use Only" section on any form. This section is strictly for authorized personnel to use and should be left blank to avoid any confusion or potential processing errors.

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What is state use only?

State use only refers to information that is intended only for internal use by the state agency and is not to be shared with the public or other entities.

Who is required to file state use only?

State use only is typically filed by government agencies or departments that need to keep certain information confidential for internal purposes.

How to fill out state use only?

State use only information should be indicated clearly on the form or document, and special care should be taken to ensure that only authorized personnel have access to this information.

What is the purpose of state use only?

The purpose of state use only is to protect sensitive information and ensure that it is only accessed by authorized individuals within the state agency or department.

What information must be reported on state use only?

Any information that is considered confidential or sensitive and is not meant to be shared with the public or other entities must be reported as state use only.