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Ohio Department of Job and Family Services CHILD MEDICAL STATEMENT FOR CHILD Catechisms Name (print or type) Date of Birth This above named child has been examined, the immunization status recorded,
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This above named child is a form required for tax purposes.
The guardian or legal parent of the child is required to file this above named child.
This above named child can be filled out online or by mail with all the necessary information about the child's income and expenses.
The purpose of this above named child is to accurately report the child's financial information for tax purposes.
Information such as the child's income, expenses, and any tax deductions must be reported on this above named child.
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