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Printed Name: TAPPET CONSENT TO DISCLOSE INFORMATION TO LICENSING BOARDS: THIRD PARTY REFERRAL NOTE: To be completed only by participants who are third party referrals. Self referrals must complete
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What is printed name?
Printed name is the name that is written or typed in a legible manner.
Who is required to file printed name?
The individual whose name is being mentioned or represented is required to file the printed name.
How to fill out printed name?
Printed name can be filled out by writing or typing the name clearly and legibly in the designated space.
What is the purpose of printed name?
The purpose of printed name is to clearly identify and associate a specific individual with a document or form.
What information must be reported on printed name?
The printed name should accurately reflect the legal name of the individual.
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