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2016 2017California Department of Education Nutrition Services DivisionChild Nutrition Programs CNP925 (Rev. 04/16) Page 1MEDICAL STATEMENT TO REQUEST SPECIAL MEALS AND/OR ACCOMMODATIONS 1. School/Agency
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Step 1: Start by writing the first name of the child in the designated field.
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Name of child or is a legal form required for reporting the personal information of a child or dependent on certain tax documents.
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The individual responsible for claiming a dependent or a child tax credit is required to file name of child or.
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On name of child or, you must report the child or dependent's full name, social security number, and relationship to the taxpayer.
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