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21 Elm Street New Milford, CT 06776 Phone: 8602105287 Fax: 8603554785 Email: Decker wcthealthnetwork.org Today's Date Name Birthdate (optional) Home Address Home Phone Cell Phone Email Address Occupation
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How to fill out name birthdate:
01
Start by writing your full legal name in the designated field. Make sure to include your first name, middle name (if applicable), and last name. Avoid using any nicknames or abbreviations.
02
Next, enter your birthdate in the format specified on the form or website. Typically, it is written as month/day/year. For example, if your birthdate is January 1, 1990, you would write it as 01/01/1990.
03
Double-check the accuracy of the information you entered. Ensure that there are no spelling mistakes or errors in the birthdate. Mistakes in the name or birthdate can lead to complications later on.
Who needs name birthdate:
01
Employers often require your name and birthdate for employment purposes. It helps verify your identity and ensure compliance with legal regulations.
02
Government agencies, such as the Social Security Administration or the Department of Motor Vehicles, may need your name and birthdate for various identification and documentation purposes.
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Educational institutions often request your name and birthdate to enroll you in their programs and maintain accurate student records.
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