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PHYSICIAN VERIFICATION FORM(NOTE: Provision of incomplete information below may delay application process)PART I: To be completed by the schools SHIP Designee Name: DOB: Telephone: School: Grade:
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Start by reading the instructions for Part I of the form carefully.
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Begin by entering your personal information such as your name, date of birth, and social security number.
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Follow the prompts to provide the required information regarding your employment status and income.
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Part I of the form needs to be filled out by all individuals who are required to file a tax return.
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Part I is a section of the form that must be completed.
All individuals or entities who meet the filing requirements.
Part I should be filled out completely and accurately following the instructions on the form.
The purpose of Part I is to gather specific information required for reporting purposes.
Information such as income, expenses, and other relevant financial data.
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