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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 and is in suitable condition for
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This above named child is a dependent child.
The parent or legal guardian of the dependent child is required to file for them.
The parent or legal guardian must provide accurate and updated information about the dependent child on the appropriate tax forms.
The purpose of filing for the dependent child is to claim tax benefits and credits.
Information such as the dependent child's name, social security number, relationship to the filer, and any other relevant details must be reported.
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