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In. WEIGHT EYE COLOR STATE DRIVER S LICENSE NUMBER THE ABOVE INFORMATION WAS VERIFIED BY REVIEWING THE FOLLOWING FORM OF GOVERNMENT ISSUED PHOTOGRAPHIC IDENTIFICATION REQUESTED BY SIGNATURE OF CORI AUTHORIZED EMPLOYEE WFLPS CH 385 G. Superintendent of Schools 94 North Elm Street Suite 101 Westfield MA 01085 Telephone 413 572-6403 Fax 413 564-3177 Stefan Czaporowski School/Location CORI REQUEST FORM This form MUST be completed in the presence of a Westfield Public Schools staff member who is...
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