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Request for Bus Tickets/PassesClient Name: Date Requested: Client DOB: I hereby certify that the above named client is currently eligible to receive Public Mental Health Services as indicated: Both
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The I hereby certify that the above named client is currently eligible to receive Public Mental Health Services as indicated: template is a fillable form in MS Word extension required to be submitted to the relevant address in order to provide specific information. It has to be filled-out and signed, which may be done manually in hard copy, or by using a certain solution such as PDFfiller. It lets you fill out any PDF or Word document right in the web, customize it depending on your purposes and put a legally-binding electronic signature. Once after completion, you can easily send the I hereby certify that the above named client is currently eligible to receive Public Mental Health Services as indicated: template to the relevant receiver, or multiple recipients via email or fax. The editable template is printable as well because of PDFfiller feature and options presented for printing out adjustment. In both digital and physical appearance, your form will have a neat and professional look. You may also turn it into a template to use it later, so you don't need to create a new file again. You need just to edit the ready form.

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I hereby certify that is a statement or declaration made by an individual confirming the truthfulness of certain information.
Any individual who needs to attest to the accuracy of information or to confirm certain details may be required to file i hereby certify that.
To fill out i hereby certify that, the individual must write down their statement or declaration and sign it to attest to its accuracy.
The purpose of i hereby certify that is to serve as a formal declaration of truthfulness and accuracy of information provided.
The individual must report specific details or information that they are confirming to be true in i hereby certify that.
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