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5 Copy of Child s Birth Certificate Current Tax Return first page only OR if no Tax Return was filed Copy of W2 pay stub child support Copy of SSI award letter if applicable Vendor s Equipment Quote The Review Committee meets quarterly. Signature of Parent or Guardian Date of race religion color national origin sex or political affiliation. Optional This portion of the application contains information that will be used to assure our outreach is serving a diverse community within the state...
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What is namelastfirstmiddle?
Namelastfirstmiddle refers to the full name of an individual, with last name followed by first name and middle name (if applicable).
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The information reported on namelastfirstmiddle is the full name of an individual, including their last name, first name, and middle name (if applicable).
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