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APPLICATION AND RELEASE FORM CITY OF TOPEKA UTILITY FRANCHISE FEE CREDIT PROGRAM Applicant Name Applicant residence for claim year 2016 STREET CITY STATE Telephone did you move during 2016 YES if YES next line NO Previous Address Complete this line if you lived at more than one address during the claim year 2016 1. Westar Energy Account Code 2. Kansas Gas Service Account Code 3. City of Topeka Water Division Account Code Date of Birth 2016 HOUSE-HOLD INCOME IS By my signature below I hereby...
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Application and release form is a document used to request permission to participate in an event or activity and release liability from the organizers.
Any individual who wishes to participate in an event or activity may be required to file an application and release form.
To fill out an application and release form, you will need to provide personal information, emergency contacts, medical information, and sign a liability waiver.
The purpose of an application and release form is to protect event organizers from liability and ensure that participants understand the risks involved in the activity.
Information such as personal details, emergency contacts, medical conditions, and consent to release liability must be reported on an application and release form.
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