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EMPLOYERS AUTHORIZATION FOR EXAMINATION OR TREATMENT (MUST PRESENT PHOTO ID AT TIME OF SERVICE)PATIENT NAME: SSN: COMPANY NAME: DATE OF BIRTH: ADDRESS: DATE OF INJURY: CORRELATED INJURY ILLNESSPostAccident
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Must present photo id is a form of identification that includes a photo of the individual, such as a driver's license or passport.
Anyone who needs to verify their identity or age may be required to present a photo ID.
To fill out a must present photo id, simply provide the required information and upload a clear photo of your identification document.
The purpose of a must present photo id is to accurately verify the identity of an individual.
A must present photo id typically includes the individual's name, date of birth, photo, and the issuing authority.
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