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Adult Intake Questionnaire 516 W. Bijou St., Colorado Springs, CO, 80905 Phones: 7196339114 Fax: 7193290495 Identifying Information: Clients Name: DOB: Address: Home Phone: Cell Phone: Sex: M F Work
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Start by writing your full name in the designated space at the top of the form.
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Provide your current address in the appropriate section. This should include the house/apartment number, street name (Bijou St), city, state, and zip code.
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Include your contact information, such as your phone number and email address, so that you can be easily reached if needed.
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If applicable, provide any additional information requested by the form, such as a secondary address or emergency contact details.
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Who Needs Bijou St:

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Individuals or businesses who have a physical location on Bijou St may need to fill out this form. This could include residents, commercial establishments, or property owners.
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It is important to refer to the specific form or document requesting Bijou St information to determine if you are the intended recipient for filling out this form.
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Bijou St is a form that must be filed with the relevant tax authorities.
Individuals or businesses who meet certain criteria set by the tax authorities are required to file Bijou St.
Bijou St can be filled out online or by using the paper form provided by the tax authorities. It is important to accurately report all relevant information.
The purpose of Bijou St is to report certain financial information to the tax authorities.
Information such as income, expenses, and other financial data must be reported on Bijou St.
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