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DATE OF REFERRAL: / / Date of receipt: / / Child First Staff Initials: REQUEST FOR SERVICECHILD INFORMATION: Name (First / Last): DOB: / / Age: Gender’M F unknownRacial Origin: (check one) American
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How to fill out date of receipt
01
Start by locating the date of receipt section on the form or document.
02
Enter the day, month, and year in the respective fields.
03
Make sure to use the correct date format as specified on the form or document.
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Double-check the entered date for accuracy and make any necessary corrections.
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If the receipt date is not explicitly mentioned, use the date of purchase or the date the receipt was issued.
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If there are multiple receipts, fill out the date of each receipt separately.
Who needs date of receipt?
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Individuals who want to keep track of their expenses and transactions.
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Insurance companies to verify the date of purchase or receipt.
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