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Clinton County Regional Educational Service Agency FUNCTIONAL BEHAVIORAL ASSESSMENT Student Name: District: School: Grade: Date of FBA Meeting: Gender: DOB: Age: STEP 1: IDENTIFY THE INAPPROPRIATE
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Step 1 identify form is a document used to gather information about an individual or entity for identification purposes.
Any individual or entity that needs to provide identification information is required to file step 1 identify form.
Step 1 identify form can be filled out by providing accurate and complete information as requested on the form.
The purpose of step 1 identify form is to establish and verify the identity of an individual or entity.
Information such as name, address, date of birth, and identification number must be reported on step 1 identify form.
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